CMS Price Transparency Data

Speech therapy (group session)

Facility: Kootenai Health

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $31
Cash Discount Price: $141
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Kootenai Health is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.29x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $141 (586%)

Insurance Median: $31 (129%)

Cash: $141 (586% of Medicare)

Ins. Median: $31 (129% 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
Coordinated Care Of Washington	$14	58%
Molina Healthcare Of Idaho	$14 - $70	58%
Molina Healthcare Of Washington	$14	58%
Magellan	$19	79%
Wellpoint	$19	79%
UnitedHealthcare	$20 - $169	83%
Blue Cross Blue Shield	$23 - $169	96%
Humana	$23	96%
Pacificsource	$23 - $154	96%
Premera	$23 - $116	96%
Regence Blue Shield Of Idaho	$23 - $24	96%
Aetna	$24 - $156	100%
Group Health/Kaiser	$27 - $82	112%
Mountain Health Co-Op	$146	607%
Cigna	$154 - $156	640%
First Choice Health (Ameriben)	$160 - $163	665%
Interwest Health	$160	665%

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 $141.
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 Kootenai Health 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.