CMS Price Transparency Data

Speech therapy (group session)

Facility: St Luke's Nampa Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $47
Cash Discount Price: $59
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at St Luke's Nampa Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.95x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $59 (245%)

Insurance Median: $47 (195%)

Cash: $59 (245% of Medicare)

Ins. Median: $47 (195% 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
UnitedHealthcare	$24 - $48	100%
Blue Cross Blue Shield	$38 - $60	158%
Commercial [1028]	$38 - $60	158%
Mountain Health Co-Op [1067]	$38	158%
Pacificsource [1020]	$38 - $44	158%
Select Health [1063]	$38 - $60	158%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$38 - $60	158%
St Lukes Health Plan [1046]	$38 - $60	158%
Aetna	$47 - $53	195%
Cigna	$47	195%
Providence [1022]	$47	195%
Webtpa [1071]	$47 - $50	195%
Geha [1065]	$48	200%
United Medical Resources [1051]	$48	200%
First Health [1064]	$49 - $50	204%
Moda [1055]	$52	216%
Regence [1005]	$55 - $58	229%
Blue Shield Alt [100401]	$58	241%
Regence Out Of State [1004]	$58	241%

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 $59.
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 St Luke's Nampa Medical Center 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.