CMS Price Transparency Data

Speech therapy (group session)

Facility: Unitypoint Health - Des Moines Iowa Methodist Medi

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $36
Cash Discount Price: $145
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Unitypoint Health - Des Moines Iowa Methodist Medi is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.50x the Medicare baseline. Located in 1200 Pleasant Street, Des Moines, IA.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $145 (603%)

Insurance Median: $36 (150%)

Cash: $145 (603% of Medicare)

Ins. Median: $36 (150% 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.

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 - $89	91%
Amerivantage	$23	96%
Blue Cross Blue Shield	$23 - $36	96%
Humana	$23	96%
Molina	$23	96%
UnitedHealthcare	$23 - $61	96%
Health Partners Open Network	$31 - $39	129%
Wellmark Uph Self-Funded	$36	150%
Medica Exchange Inspire	$48	200%
Medica Exchange Insure	$53	220%
Cigna	$59 - $79	245%

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 $145.
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 Unitypoint Health - Des Moines Iowa Methodist Medi 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.