CMS Price Transparency Data

Speech therapy (group session)

Facility: Carle Eureka Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $222
Cash Discount Price: $502
vs. Medicare Baseline: 9.23x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Carle Eureka Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 9.23x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$502

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $502 (2087%)

Insurance Median: $222 (923%)

Cash: $502 (2087% of Medicare)

Ins. Median: $222 (923% 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 923% of the Medicare baseline (a markup of 823%). 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
Meridian	$9 - $675	37%
Aetna	$16 - $930	67%
Humana	$16 - $633	67%
Molina	$18 - $675	75%
Wellcare	$23	96%
UnitedHealthcare	$40 - $868	166%
Community Partners Health Plan (Cphp)	$54 - $844	225%
Cigna	$56 - $872	233%
Healthlink	$58 - $915	241%
Blue Cross Blue Shield	$60 - $1,182	249%
Multiplan/Phcs	$68 - $1,055	283%

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 $502.
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 Carle Eureka 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.