CMS Price Transparency Data

Speech therapy (group session)

Facility: Medstar Georgetown University Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $171
Cash Discount Price: $172
vs. Medicare Baseline: 7.11x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Medstar Georgetown University Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.11x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $172 (715%)

Insurance Median: $171 (711%)

Cash: $172 (715% of Medicare)

Ins. Median: $171 (711% 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 711% of the Medicare baseline (a markup of 611%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$26 - $93	108%
Carefirst Advantage Inc	$27	112%
Tricare	$27	112%
Aetna	$28 - $72	116%
Health Care Service Corporation	$28	116%
Humana	$28	116%
Blue Cross Blue Shield	$56	233%
Medstar Family Choice Inc	$154 - $337	640%
Cigna	$171	711%
Pfc	$172	715%
Carefirst Blue Choice Inc	$211	877%
Private Healthcare Systems (Phcs)	$212	881%
First Health	$225	936%
Beech Street	$239	994%
Amerigroup	$337	1401%
Amerihealth Caritas District Of Columbia	$337	1401%
Hscsn	$337	1401%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $172.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92508.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Georgetown University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92508.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.