CMS Price Transparency Data

Speech therapy (group session)

Facility: Athur M Blank Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $536
Cash Discount Price: $907
vs. Medicare Baseline: 22.29x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Athur M Blank Hospital is $536. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $907. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 22.29x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$907

Average discount available for prompt cash payment at this facility.

Insurance Median

$536

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: $907 (3771%)

Insurance Median: $536 (2229%)

Cash: $907 (3771% of Medicare)

Ins. Median: $536 (2229% 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 2229% of the Medicare baseline (a markup of 2129%). 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
Peachstate [43]	$102 - $750	424%
Caresource [61]	$105 - $772	437%
Amerigroup [102]	$110 - $808	457%
Cigna	$158 - $1,161	657%
Blue Cross Blue Shield	$159 - $1,714	661%
United [5]	$159 - $1,165	661%
Ambetter / Centene	$160 - $1,176	665%
Oscar [228]	$160 - $1,177	665%
Aetna	$161 - $1,182	669%
Caresource Marketplace Bronze/Silver/Gold [60]	$162 - $1,193	674%
Kaiser [6]	$163 - $1,196	678%
Sidecar Health [236]	$165 - $1,212	686%
Direct Employer Agreements [72]	$167 - $1,493	694%
Coventry [9]	$168 - $1,232	699%
First Health [74]	$179 - $1,318	744%
Northeast Georgia Heatlh System [808]	$179 - $1,317	744%
Veracity Benefits [809]	$179 - $1,317	744%
Phcs [93]	$203 - $1,493	844%
Secure Health [340]	$203 - $1,493	844%
Beech Street [71]	$215 - $1,580	894%
Multiplan [92]	$234 - $1,721	973%
Novanet [41]	$239 - $1,756	994%

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 $907.
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 Athur M Blank 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.