CMS Price Transparency Data

Speech therapy (group session)

Facility: Craig Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $302
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 12.56x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Craig Hospital is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 12.56x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$302

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: $179 (744%)
Insurance Median: $302 (1256%)
Cash: $179 (744% of Medicare)
Ins. Median: $302 (1256% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1256% of the Medicare baseline (a markup of 1156%). 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.

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
Veterans Administration $21 87%
Cms $24 100%
UnitedHealthcare $24 - $866 100%
Cigna $62 - $161 258%
Kaiser $64 - $376 266%
Blue Cross Blue Shield $65 - $383 270%
Carisk Outcomes $68 - $398 283%
Zenith $73 - $431 304%
Aetna $77 - $451 320%
Corvel Worker'S Comp $79 - $464 328%
Liberty Mutual Worker'S Comp $79 - $464 328%
Paradigm $79 - $464 328%
Rocky Mountain Health Plan $82 - $484 341%
Midwest Employers Casualty $84 - $491 349%
Coventry/First Health $85 - $497 353%
Fcci Worker'S Comp $85 - $497 353%
Geha/Ppo Usa $85 - $497 353%
Great-West Healthcare $85 - $497 353%
Prime Health Services $86 - $504 358%
First Choice Health $88 - $517 366%
Multiplan/Phcs $89 - $524 370%
Focus Worker'S Comp $90 - $530 374%
General Reinsurance $90 - $564 374%
Provider Network Of America $90 - $530 374%
Three Rivers Provider Network $90 - $544 374%
Wyoming Worker'S Comp $90 - $530 374%
Allstate $96 - $564 399%
Tricare $96 - $564 399%
National Provider Network $102 - $597 424%
Up & Up $102 - $597 424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL