CMS Price Transparency Data

Speech therapy (group session)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $51
Cash Discount Price: $85
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at UMass Memorial Healthalliance Hospitals is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.12x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $85 (353%)

Insurance Median: $51 (212%)

Cash: $85 (353% of Medicare)

Ins. Median: $51 (212% 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 212% of the Medicare baseline (a markup of 112%). 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
Cigna	$25 - $55	104%
Correctional Care [11003]	$25 - $39	104%
Tufts Us Family [11203]	$25	104%
Harvard Pilgrim Mcr [10106]	$26	108%
UnitedHealthcare	$26 - $46	108%
Workers Compensation [20501]	$26	108%
Senior Whole Health [10110]	$27	112%
Medicaid / KanCare	$44 - $53	183%
Institution [10406]	$45	187%
Hne [11108]	$47	195%
Tufts [11201]	$50	208%
Aetna	$56	233%
Blue Cross Blue Shield	$64 - $65	266%
First Health Network [11120]	$64	266%
Multiplan [11109]	$64	266%
Wellpoint [11112]	$80	333%
Connecticare [11105]	$85	353%
Fallon Carelon Hlth [28]	$85	353%
Fallon Mcaid Carelon Hlth [29]	$85	353%
Grants [20507]	$85	353%
Harvard Pilgrim [10701]	$208 - $249	865%
Hsno/Free Care [10801]	$294	1222%

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 $85.
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 UMass Memorial Healthalliance Hospitals 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.