CMS Price Transparency Data

Speech therapy (group session)

Facility: Boston Children's Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $152
Cash Discount Price: $203
vs. Medicare Baseline: 6.32x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Boston Children's Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 6.32x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $203 (844%)

Insurance Median: $152 (632%)

Cash: $203 (844% of Medicare)

Ins. Median: $152 (632% 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 632% of the Medicare baseline (a markup of 532%). 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	$85 - $134	353%
Cdphp	$99 - $173	412%
Harvard Pilgrim	$103 - $105	428%
Unicare	$120	499%
United	$121 - $170	503%
Aetna	$122 - $170	507%
Mgb/Allways	$123 - $150	511%
Tufts Public Plan	$125	520%
Ambetter / Centene	$128	532%
United Ri Nj Ny	$128	532%
Carelon Strategies/Bhs	$132	549%
UnitedHealthcare	$132 - $173	549%
Carelon/Beacon	$152	632%
Fallon	$155 - $156	644%
Health New England	$164	682%
Cigna	$173 - $183	719%
Ets/Lifetrac	$173	719%
Interlink Transplant	$173	719%
Community Health Options	$183	761%
Humana	$183	761%
Coventry/Hcvm/First Health	$187	778%
Multiplan/Phcs	$187 - $193	778%

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 $203.
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 Boston Children's Hospital 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.