CMS Price Transparency Data

Speech therapy (group session)

Facility: St Mary's Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $47
Cash Discount Price: $40
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at St Mary's Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.95x the Medicare baseline. Located in 701 Lewiston St, Cottonwood, ID.

Cash / Self-Pay

$40

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: $40 (166%)

Insurance Median: $47 (195%)

Cash: $40 (166% 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
Blue Cross Blue Shield	$38 - $52	158%
Aetna	$43 - $49	179%
Medicare (plans)	$43	179%
Regence Blue Shield Mcr	$43	179%
Tricare	$43	179%
UnitedHealthcare	$43	179%
Veterans Admin - All Plans	$43	179%
Nimiipuu Mcr Adv - Allplans	$44	183%
Idaho Phys Network - All Plans	$50	208%
Corizon Correctional - All Plans	$51	212%
Geha - All Plans	$51	212%
Multiplan - All Plans	$51	212%
First Choice- All Plans	$52	216%
Regence Blue Shield - All Other Plans	$53	220%

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 $40.
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 Mary's 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.