Speech therapy (group session)
Facility: University Medical Center of Princeton at Plainsboro
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $173
- Cash Discount Price: $249
- vs. Medicare Baseline: 7.19x 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 719% of the Medicare baseline (a markup of 619%). 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 |
|---|---|---|
| Charity Care | $23 | 96% |
| Medicaid / KanCare | $23 - $249 | 96% |
| Aetna | $23 - $322 | 96% |
| Wellcare | $25 | 104% |
| Us Family Health Plan | $26 | 108% |
| Tricare | $26 | 108% |
| Medicare (plans) | $27 - $29 | 112% |
| VA Medical Center | $27 | 112% |
| UnitedHealthcare | $27 - $158 | 112% |
| Blue Cross Blue Shield | $27 - $187 | 112% |
| Clover Health Plan | $28 | 116% |
| Cigna | $28 - $249 | 116% |
| Humana | $29 | 121% |
| Elap | $38 - $48 | 158% |
| Claim Watcher | $48 | 200% |
| Centivo | $48 | 200% |
| Horizon Nj Health | $60 | 249% |
| Preferred Health Care Eliance | $65 | 270% |
| Horizon Behavioral Health | $93 | 387% |
| Beacon Health Options | $124 | 516% |
| Amerihealth | $147 | 611% |
| Princeton Theological Seminary | $162 | 674% |
| Magnacare | $174 - $299 | 723% |
| Health Net | $174 | 723% |
| Coventry | $174 | 723% |
| Intergrated Health Plan | $199 | 827% |
| Beech Street | $199 - $212 | 827% |
| Intergroup | $199 | 827% |
| Penn Global Medicine Embassy Only | $199 | 827% |
| Tri-State | $212 | 881% |
| Total Care Network | $212 | 881% |
| Ie Shaffer | $212 | 881% |
| Private Healthcare Systems | $212 | 881% |
| Allied Trades | $212 | 881% |
| Consumer Health Network | $212 | 881% |
| Qualcare | $212 | 881% |
| Devon Health Services | $212 | 881% |
| Commercial Other | $249 | 1035% |
| International Pfs | $249 | 1035% |
| Compsych | $249 | 1035% |
| Penn Behavioral Health Corporate Services | $249 | 1035% |
| Nj Carpenters | $249 | 1035% |
| Managed Health Network | $249 | 1035% |
| Concern Plus | $249 | 1035% |
| United Behavioral Health | $249 | 1035% |
| Life St. Francis | $249 | 1035% |
| Magellan | $249 | 1035% |
| Personnel Health Program | $249 | 1035% |
| First Managed Care Option | $308 | 1281% |