CMS Price Transparency Data

Speech therapy (group session)

Facility: Saint Joseph Hospital-Elgin

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $26
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Saint Joseph Hospital-Elgin is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.08x the Medicare baseline. Located in 77 N Airlite Street, Elgin, IL.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $24 (100%)
Insurance Median: $26 (108%)
Cash: $24 (100% of Medicare)
Ins. Median: $26 (108% 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.

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 $23 - $35 96%
Aetna $25 - $31 104%
Celtic (Wellcare) $25 104%
Cigna $25 104%
Clear Spring Health Of Illinois $25 104%
Devoted Health $25 104%
Essential Health Partners $25 - $28 104%
Humana $25 - $31 104%
Longevity Health Plan Of Illinois $25 104%
Medicare (plans) $25 104%
Molina $25 - $37 104%
Ravenswood Physicians Associates Ipa $25 104%
Resurrection Physicians Provider Group Ipa $25 104%
Self-Pay $25 104%
Tricare $25 104%
United Behavioral $25 104%
UnitedHealthcare $25 - $31 104%
Zing Health Provider Network $25 104%
Harmony Health Plan $26 108%
Meridian $26 - $33 108%
Providers Partners Health Plan (Pphp) $26 108%
Access Community Health Network $30 125%
Medicaid / KanCare $31 - $33 129%
Clifton Health Systems $38 158%
Ambetter / Centene $40 166%
Imagine Health Network, Inc $149 620%
Community Partners Health Plan $158 657%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 77 N Airlite Street, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals