CMS Price Transparency Data

Speech therapy (group session)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $148
Cash Discount Price: $176
vs. Medicare Baseline: 6.15x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at University of Iowa Health Care Medical Center Down is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 6.15x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$176

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $176 (732%)

Insurance Median: $148 (615%)

Cash: $176 (732% of Medicare)

Ins. Median: $148 (615% 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 615% of the Medicare baseline (a markup of 515%). 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	$22 - $225	91%
Iowa Total Care	$22 - $23	91%
Medical Associates	$22 - $178	91%
Molina Healthcare	$22 - $23	91%
UnitedHealthcare	$22 - $201	91%
Blue Cross Blue Shield	$23 - $127	96%
Healthpartners	$23 - $225	96%
Wellpoint (Amerigroup)	$23	96%
Immergrun	$25 - $66	104%
Aplos Health Plan	$52 - $212	216%
Quad City Community Healthcare	$58 - $199	241%
Oscar Health	$64 - $167	266%
Great River Health Systems	$71 - $186	295%
Sedgwick	$81 - $212	337%
Midlands Choice	$85 - $172	353%
Global Excel	$86 - $225	358%
Sanford Health Plan	$86 - $225	358%
Employee Benefit Systems	$89 - $238	370%
Sisco	$89 - $233	370%
Healthsmart	$91 - $238	378%
Hfn	$93 - $244	387%
Multiplan	$93 - $244	387%

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 $176.
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 University of Iowa Health Care Medical Center Down 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.