CMS Price Transparency Data

Speech therapy (group session)

Facility: Ascension St Vincent Jennings

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $13
Cash Discount Price: $142
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Ascension St Vincent Jennings is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 0.54x the Medicare baseline. Located in 301 Henry St, North Vernon, IN.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $142 (590%)

Insurance Median: $13 (54%)

Cash: $142 (590% of Medicare)

Ins. Median: $13 (54% 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
UnitedHealthcare	$3 - $20	12%
Blue Cross Blue Shield	$13 - $16	54%
Encore Exclusive	$13	54%
Patoka Valley Tier 1	$13	54%
Patoka Valley Tier 2	$13	54%
Medicaid / KanCare	$16	67%
Mhs Care Connect	$16	67%

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 $142.
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 Ascension St Vincent Jennings 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.