CMS Price Transparency Data

Speech therapy (group session)

Facility: PAM Health Rehabilitation Hospital of Greater Indiana

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $70
Cash Discount Price: $147
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at PAM Health Rehabilitation Hospital of Greater Indiana is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.91x the Medicare baseline. Located in 2101 Broadway St, Clarksville, IN.

Cash / Self-Pay

$147

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $147 (611%)

Insurance Median: $70 (291%)

Cash: $147 (611% of Medicare)

Ins. Median: $70 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Blue Cross Blue Shield	$22 - $125	91%
Caresource	$22 - $51	91%
Humana	$22	91%
Ilumed Aco Reach	$22	91%
Palm Beach Aco Reach	$22	91%
UnitedHealthcare	$22 - $175	91%
Caresource Indiana	$27	112%
Velocity Provider Ppo Network	$27 - $110	112%
Aetna	$29 - $110	121%
Prime Health Services	$29 - $125	121%
Multiplan/Phcs	$88	366%
America'S Choice Provider	$103	428%
Quik Trip	$110	457%
Usa Managed Care Organization	$110	457%

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 $147.
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 PAM Health Rehabilitation Hospital of Greater Indiana 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.