CMS Price Transparency Data

Speech therapy (group session)

Facility: Northwestern Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $139
Cash Discount Price: $167
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Northwestern Memorial Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.78x the Medicare baseline. Located in 251 E Huron St, Chicago, IL.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $167 (694%)

Insurance Median: $139 (578%)

Cash: $167 (694% of Medicare)

Ins. Median: $139 (578% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 578% of the Medicare baseline (a markup of 478%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$46 - $239	191%
Curaechoice [6100]	$52 - $56	216%
Cigna	$56 - $239	233%
Imagine Health [6032]	$65	270%
Humana	$96 - $120	399%
Blue Cross Blue Shield	$108 - $239	449%
Healthlink [125]	$120 - $239	499%
Global Medical Management Inc [6090]	$129 - $139	536%
UnitedHealthcare	$139 - $239	578%
Health'S Finest Network [126]	$155 - $203	644%
Medpartners [6038]	$156 - $167	649%
Multiplan/Phcs [142]	$191 - $239	794%
First Health Plan [6034]	$239	994%
Galaxy Health Network [220]	$239	994%

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 $167.
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 Northwestern 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.