Speech therapy (group session)
Facility: Johnson Memorial Hospital
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $280
- Cash Discount Price: $185
- vs. Medicare Baseline: 11.64x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $24.05 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1164% of the Medicare baseline (a markup of 1064%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $25 - $263 | 104% |
| Medicare (plans) | $25 - $26 | 104% |
| UnitedHealthcare | $25 - $369 | 104% |
| Cca Senior Care Options | $25 | 104% |
| Blue Cross Blue Shield | $25 - $285 | 104% |
| Cigna | $26 - $308 | 108% |
| Fallon Health | $33 | 137% |
| Innovative Health Plan II | $53 | 220% |
| Diversified Administrators | $53 | 220% |
| Claimdoc | $53 | 220% |
| Centivo | $59 | 245% |
| Connecticut Dept of Correction | $60 | 249% |
| Health New England | $219 | 911% |
| Connecticare | $242 - $314 | 1006% |
| Webtpa | $263 | 1094% |
| Meritain | $263 | 1094% |
| Allied Benefit Systems | $263 | 1094% |
| 1199 National Benefit Fund | $263 | 1094% |
| Luminare Health | $263 | 1094% |
| Gravie Admin Services | $263 | 1094% |
| Hap | $263 | 1094% |
| Nippon Life Ins | $263 | 1094% |
| Prime Health Services | $270 | 1123% |
| Mvp | $280 | 1164% |
| PHCS | $280 | 1164% |
| Multiplan | $280 | 1164% |
| Ghc Scw | $280 | 1164% |
| Asrm - Reliance Standard Life Insurance | $280 | 1164% |
| Trinity Health Share | $280 | 1164% |
| International Benefit Administrators | $280 | 1164% |
| Pan-American Life | $280 | 1164% |
| Christian Care Ministry | $280 | 1164% |
| Lifetime Benefit Solutions | $280 | 1164% |
| Allied National Global Care | $280 | 1164% |
| Medi Share | $280 | 1164% |
| Dean Health | $280 | 1164% |
| Manhattan Life | $280 | 1164% |
| Family Life Insurance Company | $280 | 1164% |
| Pai | $280 | 1164% |
| Paramount HMO | $280 | 1164% |
| Blue Shield - Ny Highmark Western | $285 | 1185% |
| Blue Shield - Ca | $285 | 1185% |
| Blue Shield - PA (Highmark) | $285 | 1185% |
| Blue Distinction Transplant | $285 | 1185% |
| Blue Care Network | $285 | 1185% |
| Blue Shield - Ny Highmark Northeastern | $285 | 1185% |
| Unicare | $285 | 1185% |
| Blue Shield - Wa (Regence) | $285 | 1185% |
| Blue Shield - Id (Regence) | $285 | 1185% |
| Bcn Domestic | $285 | 1185% |
| Wc Domestic | $285 | 1185% |
| Blue Benefit Administrators of Massachusetts | $285 | 1185% |
| Kaiser Domestic | $285 | 1185% |
| Pre-Employment | $285 | 1185% |
| Wellpoint | $285 | 1185% |
| Health Choices | $285 | 1185% |
| Health Smart | $286 | 1189% |
| Magnacare | $308 | 1281% |
| Health Partners | $308 | 1281% |
| Allegiance | $308 | 1281% |
| United Behavioral Health Eap | $337 | 1401% |
| Harvard Pilgrim Healthcare | $369 | 1534% |
| Geha | $369 | 1534% |