CMS Price Transparency Data

Speech therapy (group session)

Facility: Ochsner Medical Center Acute

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $58
Cash Discount Price: $15
vs. Medicare Baseline: 2.41x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Ochsner Medical Center Acute is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.41x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$15

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

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: $15 (62%)

Insurance Median: $58 (241%)

Cash: $15 (62% of Medicare)

Ins. Median: $58 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
Tricare	$20 - $24	83%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$35	146%
Blue Cross Blue Shield	$35	146%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$35	146%
Ochsner Health Plan	$35	146%
Christus Health Exchange Plan	$51	212%
First Health Network	$52	216%
Louisiana Workers' Compensation Corporation (Lwcc)	$52	216%
Mississippi Physicians Care Network	$52	216%
Healthcomp & Personify Health (Formerly Gilsbar)	$55	229%
Claritev D/B/A Multiplan/Phcs/American Life Care	$56	233%
Zelis	$56	233%
Employers Health Network (Ehn)	$60	249%
Prime Health Services Ppo	$60	249%
Usa Managed Care Network	$60	249%
Aetna	$62 - $67	258%
Behavioral Health Systems	$63	262%
Evolutions Healthcare	$63	262%
Galaxy Health Network Ppo	$63	262%
Galaxy Health Network Wc	$63	262%
UnitedHealthcare	$70 - $300	291%
Cigna	$441	1834%

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 $15.
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 Ochsner Medical Center Acute 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.