CMS Price Transparency Data

Speech therapy (group session)

Facility: Decatur Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $46
Cash Discount Price: $100
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Decatur Memorial Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.91x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $100 (416%)

Insurance Median: $46 (191%)

Cash: $100 (416% of Medicare)

Ins. Median: $46 (191% 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	$21 - $100	87%
Aetna	$22 - $67	91%
Coventry	$22 - $60	91%
Health Alliance	$22 - $66	91%
Humana	$22 - $65	91%
Medicare (plans)	$22 - $23	91%
UnitedHealthcare	$22 - $100	91%
Veterans Administration	$22 - $23	91%
Wellcare	$22	91%
Tricare	$23	96%
Caterpillar	$28	116%
Illinois Workers Compensation	$33 - $53	137%
Mennonite Churches	$43	179%
Medicaid / KanCare	$45 - $46	187%
Plain Church Medical Group	$45	187%
Health Alliance Mh Employee Plan	$46	191%
Cigna	$47	195%
Hfn	$50 - $75	208%
Commercial Workers Compensation	$51	212%
6 Degrees Health	$60	249%
Hopetrust	$60	249%
Hst	$60	249%
Phcs Savility	$65	270%
Phcs Multiplan Ppo	$68	283%
Healthlink	$69	287%
Corvel	$72	299%
Consociate	$74	308%
Liability	$100	416%

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 $100.
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 Decatur Memorial 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.