CMS Price Transparency Data

Speech therapy (group session)

Facility: Bienville Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $59
Cash Discount Price: $66
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Bienville Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.45x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $66 (274%)

Insurance Median: $59 (245%)

Cash: $66 (274% of Medicare)

Ins. Median: $59 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
Aetna	$6 - $110	25%
Medicaid / KanCare	$6	25%
Mmd Amerihealth Caritas	$6	25%
Mmd Healthy Blue	$6	25%
Mmd La Hlth Conn	$6	25%
Mmd Misc	$6	25%
UnitedHealthcare	$6 - $59	25%
Cashiering	$44 - $66	183%
Cigna	$55	229%
Ambetter / Centene	$59	245%
Humana	$59 - $71	245%
Mcr American Hlth Adv	$59	245%
Medicare (plans)	$59	245%
Misc Mgd Care	$59 - $110	245%
Mmc Blue Advantage	$59	245%
Mmc Misc	$59	245%
Peoples Health Mcr Adv	$59	245%
Va Health	$59	245%
Blue Cross Blue Shield	$66	274%
Wc City Of Arcadia	$99	412%
Wc House Of Raeford	$99	412%
Wc Misc	$99	412%
Wc Stonetrust	$99	412%
Aarp	$110	457%
Allegiance Health Managme	$110	457%
Amfirst	$110	457%
Apwu	$110	457%
Liberty Mutual	$110	457%
Misc Comm A-L	$110	457%
Misc Comm M-Z	$110	457%
Tricare	$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 $66.
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 Bienville Medical Center 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.