CMS Price Transparency Data

Speech therapy (group session)

Facility: Medical Center Enterprise

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $34
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Medical Center Enterprise is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.41x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$24.05

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $24.05 (100%)
Cash / Self-Pay: $71 (295%)
Insurance Median: $34 (141%)
Cash: $71 (295% of Medicare)
Ins. Median: $34 (141% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tricare $21 87%
Blue Cross Blue Shield $22 - $51 91%
Covenant Hospice $22 91%
Dayspring Hospice $22 91%
Healthspring $22 91%
Humana $22 91%
Medicare (plans) $22 91%
Node Champva $22 91%
Node Devoted Health Mcr Adv $22 91%
Node Hospice Non Par $22 91%
Node Va $22 91%
Select Health $22 91%
Southerncare Hospice $22 91%
UnitedHealthcare $22 - $224 91%
Veterans Eval Services $22 91%
Wiregrass Hospice $22 91%
Aetna $23 - $256 96%
Eon Health $23 96%
Node Clover Mcr Adv $23 96%
Node Wellcare Mcr Adv $23 96%
Ambetter / Centene $33 137%
Cigna $33 - $198 137%
Self Pay $33 - $110 137%
Node Us Dept Of Labor $35 146%
Occunet $39 162%
American Employee Alliance $146 607%
Alamed $220 915%
Affordable Health $256 1064%
Health Choice $256 1064%
Novanet Ppo $256 1064%
Coventry Work Comp Al $269 1119%
Multiplan $271 - $289 1127%
Wc Dept Ind Relations $293 1218%
Corvel $311 1293%
Galaxy Health $329 1368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals