CMS Price Transparency Data
Speech therapy (group session)
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $36
- Cash Discount Price: $31
- vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Saint Joseph Regional Medical Center - Plymouth is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.50x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$31
Average discount available for prompt cash payment at this facility.
Insurance Median
$36
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: $31 (129%)
Insurance Median: $36 (150%)
Cash: $31 (129% of Medicare)
Ins. Median: $36 (150% 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 |
|---|---|---|
| Plain Church Group | $13 | 54% |
| UnitedHealthcare | $15 - $186 | 62% |
| Aetna | $19 - $36 | 79% |
| Blue Cross Blue Shield | $19 - $186 | 79% |
| Medicaid / KanCare | $19 - $186 | 79% |
| Medicare (plans) | $23 - $24 | 96% |
| Meridian Complete | $23 | 96% |
| Pace-Trinity Health | $23 | 96% |
| County Coroner | $24 | 100% |
| Provider Partners Health Plan Of Indiana | $25 | 104% |
| Notre Dame Athletic Association | $26 | 108% |
| Wc Notre Dame | $26 | 108% |
| Luminare Health (Detroit) | $27 - $28 | 112% |
| Ameriben | $28 | 116% |
| Auxiant | $30 - $50 | 125% |
| Geha | $30 | 125% |
| Healthscope | $30 | 125% |
| Student Insurance Cma | $30 | 125% |
| Allied Benefit Systems | $31 - $44 | 129% |
| Asr Health Benefits | $31 | 129% |
| Christian Brother Services | $31 | 129% |
| Employee Benefit Management | $31 | 129% |
| Medical Mutual | $31 | 129% |
| Meritain | $31 | 129% |
| Preferred One | $31 | 129% |
| Rural Carrier Health Benefit Plan | $31 | 129% |
| Webtpa | $31 | 129% |
| Encore Health | $33 | 137% |
| Indiana Criminal Justice Inst | $33 | 137% |
| Key Benefit Administrator | $33 - $50 | 137% |
| Western & Southern Financial Group | $33 | 137% |
| Cigna | $34 | 141% |
| Group Administrators | $34 | 141% |
| Health Partners | $34 | 141% |
| Mvp | $34 | 141% |
| Prairie States | $34 | 141% |
| Priority Health | $34 | 141% |
| Professional Benefit Administrators | $34 | 141% |
| Sagamore Health Network | $34 - $36 | 141% |
| Sisco Benefits | $34 | 141% |
| Unified Group Services | $34 | 141% |
| Physicians Health Plan Northern Indiana Health Insurance | $35 - $70 | 146% |
| St Joseph County Hlth Dpt | $35 | 146% |
| Caresource | $36 | 150% |
| Goshen Preferred Network | $36 - $40 | 150% |
| Siho Insurance Services | $37 | 154% |
| Signature Care | $39 | 162% |
| Allied National Global Care | $42 | 175% |
| Asrm - Reliance Standard Life Insurance | $42 | 175% |
| Avmed Health Plan | $42 | 175% |
| Christian Care Ministry | $42 | 175% |
| Dean Health | $42 | 175% |
| Fallon Health | $42 | 175% |
| Family Life Insurance Company | $42 | 175% |
| Freedom Life Insurance Company | $42 | 175% |
| Ghc Scw | $42 | 175% |
| International Benefit Administrators | $42 | 175% |
| Lifetime Benefit Solutions | $42 | 175% |
| Manhattan Life | $42 | 175% |
| Medi Share | $42 | 175% |
| Multiplan | $42 | 175% |
| Pai | $42 | 175% |
| Pan-American Life | $42 | 175% |
| Paramount Hmo | $42 | 175% |
| Phcs | $42 | 175% |
| Philadelphia American Life Insurance | $42 | 175% |
| Trinity Health Share | $42 | 175% |
| Blue Benefit Administrators Of Massachusetts | $46 | 191% |
| Blue Care Network | $46 | 191% |
| Blue Distinction Transplant | $46 | 191% |
| Blue Shield - Ca | $46 | 191% |
| Blue Shield - Id (Regence) | $46 | 191% |
| Blue Shield - Ny Highmark Northeastern | $46 | 191% |
| Blue Shield - Ny Highmark Western | $46 | 191% |
| Blue Shield - Pa (Highmark) | $46 | 191% |
| Blue Shield - Wa (Regence) | $46 | 191% |
| Bankers Life Casualty | $47 | 195% |
| Bureau Of Disability | $47 | 195% |
| Wc Align Network | $47 | 195% |
| Custom Design Benefits | $50 | 208% |
| Managed Health Services - Indiana | $186 | 773% |
| Mdwise | $186 | 773% |