CMS Price Transparency Data

Speech therapy (group session)

Facility: Memorial Hospital West

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $103
Cash Discount Price: $111
vs. Medicare Baseline: 4.28x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Memorial Hospital West is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.28x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $111 (462%)

Insurance Median: $103 (428%)

Cash: $111 (462% of Medicare)

Ins. Median: $103 (428% 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 428% of the Medicare baseline (a markup of 328%). 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
Aetna	$25 - $427	104%
Avmed	$49 - $292	204%
Health Value Management	$55	229%
UnitedHealthcare	$63 - $174	262%
Sunshine	$66	274%
Health Sun	$70	291%
Emerging Therapy Solutions	$95	395%
Allianz	$103	428%
Axis	$103	428%
Desjardins Financial Security Life Assurance Company	$103	428%
Global Health Claims	$103 - $134	428%
Global Medical Management	$103	428%
Global Reach Health	$103	428%
National Healthcare Solutions	$103	428%
Plotkin	$103	428%
Quality Health Management	$103	428%
Quebec Inc	$103	428%
Star Healthcare Network	$103	428%
World Medical Care	$103	428%
Worldwide Managed Care Partners	$103	428%
Worldwide Medical Assurance	$103	428%
Dimension Health	$107	445%
Employers Choice Network	$126	524%
Gallagher Bassett	$126	524%
Cigna	$168 - $305	699%
Amerihealth Caritas	$190	790%
Community Care Plan	$205	852%
Molina	$210	873%
Employers Health Network	$280	1164%
Broward County	$718 - $2,726	2985%

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 $111.
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 Memorial Hospital West 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.