CMS Price Transparency Data
Speech therapy (group session)
Facility: Trinity Health Muskegon Hospital
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $62
- Cash Discount Price: $54
- vs. Medicare Baseline: 2.58x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Trinity Health Muskegon Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.58x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$54
Average discount available for prompt cash payment at this facility.
Insurance Median
$62
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: $54 (225%)
Insurance Median: $62 (258%)
Cash: $54 (225% of Medicare)
Ins. Median: $62 (258% 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 258% of the Medicare baseline (a markup of 158%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Health | $16 | 67% |
| Blue Cross Blue Shield | $20 - $40 | 83% |
| Medicaid / KanCare | $20 | 83% |
| Aetna | $23 - $56 | 96% |
| Align Senior Care | $23 | 96% |
| Blue Care Network Advantage | $23 | 96% |
| Correctional Recovery | $23 | 96% |
| Heartland Hospice | $23 | 96% |
| Hospice Harbor Hospice | $23 | 96% |
| Medicare (plans) | $23 | 96% |
| UnitedHealthcare | $24 - $73 | 100% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $26 | 108% |
| Molina Marketplace | $30 | 125% |
| Oscar | $30 | 125% |
| Priority Health | $31 - $35 | 129% |
| Vitalcore | $36 | 150% |
| Wellpath | $36 | 150% |
| Bcn Domestic | $40 | 166% |
| Blue Benefit Administrators Of Massachusetts | $40 | 166% |
| Blue Care Network | $40 | 166% |
| Blue Distinction Transplant | $40 | 166% |
| Blue Shield - Ca | $40 | 166% |
| Blue Shield - Id (Regence) | $40 | 166% |
| Blue Shield - Ny Highmark Northeastern | $40 | 166% |
| Blue Shield - Ny Highmark Western | $40 | 166% |
| Blue Shield - Pa (Highmark) | $40 | 166% |
| Blue Shield - Wa (Regence) | $40 | 166% |
| Health Choices | $40 - $65 | 166% |
| Kaiser Domestic | $40 | 166% |
| Acs Benefit Services | $43 | 179% |
| Allied Benefit Systems | $43 | 179% |
| Claimchoice Adminstrators | $43 | 179% |
| Consociate | $43 | 179% |
| Cypress Benefit Administrators | $43 | 179% |
| Forest County Potawatomi | $43 | 179% |
| Health Smart | $43 | 179% |
| Healthgram | $43 | 179% |
| Healthscope | $43 | 179% |
| Preferred One | $43 | 179% |
| Secureone Preferred United Plans | $43 | 179% |
| Sisco Benefits | $43 | 179% |
| The Health Plan | $43 | 179% |
| Trustmark Small Business Benefits | $43 | 179% |
| Unified Group Services | $43 | 179% |
| Webtpa | $43 | 179% |
| Asr Health Benefits | $44 | 183% |
| Hap | $44 - $66 | 183% |
| Wc Accident Fund | $44 | 183% |
| Wc Advantage | $44 | 183% |
| Wc Aig | $44 | 183% |
| Wc Allied | $44 | 183% |
| Wc Amerisure | $44 | 183% |
| Wc Amtrust | $44 | 183% |
| Wc Asu Risk Mgt | $44 | 183% |
| Wc Berkley Admin | $44 | 183% |
| Wc Broadspire | $44 | 183% |
| Wc Bunch & Associates | $44 | 183% |
| Wc Ccmsi | $44 | 183% |
| Wc Emc Insurance Company | $44 | 183% |
| Wc Esis | $44 | 183% |
| Wc Fcci | $44 | 183% |
| Wc Federated | $44 | 183% |
| Wc Gallagher Bassett | $44 | 183% |
| Wc Genex Care For Ohio | $44 | 183% |
| Wc Guard Insurance Company | $44 | 183% |
| Wc Hartford | $44 | 183% |
| Wc Liberty Mutual | $44 | 183% |
| Wc Meijers | $44 | 183% |
| Wc Michigan | $44 | 183% |
| Wc Mitchell Frankenmuth | $44 | 183% |
| Wc Pma | $44 | 183% |
| Wc Sedgwick | $44 | 183% |
| Wc Sentry | $44 | 183% |
| Wc Travelers | $44 | 183% |
| Wc Tristar | $44 | 183% |
| Wc Walmart | $44 | 183% |
| Wc Zurich | $44 | 183% |
| Hospice Of Michigan | $46 | 191% |
| Nomi Health | $46 | 191% |
| Varipro | $48 | 200% |
| U Of M Health Plan | $51 - $65 | 212% |
| Caresource | $52 | 216% |
| Cigna | $52 | 216% |
| Geha | $56 - $73 | 233% |
| Meritain | $56 | 233% |
| 1199 National Benefit Fund | $62 | 258% |
| Allied National Global Care | $62 | 258% |
| Asrm - Reliance Standard Life Insurance | $62 | 258% |
| Christian Care Ministry | $62 | 258% |
| Dean Health | $62 | 258% |
| Fallon Health | $62 | 258% |
| Family Life Insurance Company | $62 | 258% |
| Ghc Scw | $62 | 258% |
| Group Pension Administrators | $62 | 258% |
| International Benefit Administrators | $62 | 258% |
| Lifetime Benefit Solutions | $62 | 258% |
| Manhattan Life | $62 | 258% |
| Medi Share | $62 | 258% |
| Multiplan | $62 | 258% |
| Mvp | $62 | 258% |
| Pai | $62 | 258% |
| Pan-American Life | $62 | 258% |
| Paramount Hmo | $62 | 258% |
| Phcs | $62 | 258% |
| Trinity Health Share | $62 | 258% |
| Acclaim | $65 | 270% |
| Administrative Concepts | $65 | 270% |
| Allegeant | $65 | 270% |
| Ameriben | $65 | 270% |
| American Family | $65 | 270% |
| American Healthcare Alliance | $65 | 270% |
| American Republic | $65 | 270% |
| Amerihealth | $65 | 270% |
| Aultcare | $65 | 270% |
| Automated Benefit Services | $65 | 270% |
| Auxiant | $65 | 270% |
| Benefit Administrative Systems,Llc | $65 | 270% |
| Boon Chapman | $65 | 270% |
| Cam Administrative Services | $65 | 270% |
| Christian Brother Services | $65 | 270% |
| Christian Brothers Holy Cross | $65 | 270% |
| Comprehensive Benefits | $65 | 270% |
| Continental Life Insurance | $65 | 270% |
| Custom Benefit Administrators | $65 | 270% |
| Employee Benefit Concepts | $65 | 270% |
| Employee Benefit Management | $65 | 270% |
| Enterprise Group Planning | $65 | 270% |
| Freedom Life Insurance Company | $65 | 270% |
| Group Administrators | $65 | 270% |
| Group Marketing Services | $65 | 270% |
| Guardian | $65 | 270% |
| Health America | $65 | 270% |
| Healthez | $65 | 270% |
| Humana | $65 | 270% |
| Insight | $65 | 270% |
| Intercare | $65 | 270% |
| Jfp Benefit Management | $65 | 270% |
| Jp Farley Corporation | $65 | 270% |
| Key Benefit Administrator | $65 | 270% |
| Liberty Union Life Assurance Co | $65 | 270% |
| Lucent Health | $65 | 270% |
| Luminare Health | $65 | 270% |
| Luminare Health (Detroit) | $65 | 270% |
| Medben | $65 | 270% |
| Medcost | $65 | 270% |
| Medical Mutual | $65 | 270% |
| Mutual Health Services | $65 | 270% |
| Mutual Of Omaha | $65 | 270% |
| Ncas | $65 | 270% |
| Nippon Life Ins | $65 | 270% |
| Nova | $65 | 270% |
| Painters Union Insurance Fund | $65 | 270% |
| Physicians Mutual | $65 | 270% |
| Plumbers Local 98 Insurance Fund | $65 | 270% |
| Prairie States | $65 | 270% |
| Primary Physician Care | $65 | 270% |
| Professional Benefit Administrators | $65 | 270% |
| The Loomis Company | $65 | 270% |
| Unicare | $65 | 270% |
| Us Health And Life | $65 | 270% |
| Valenz | $65 | 270% |
| Western & Southern Financial Group | $65 | 270% |
| Wps | $65 | 270% |
| First Health | $68 | 283% |
| Barinet | $83 | 345% |
| Cmh Allegan County | $83 | 345% |
| Cmh Barry County | $83 | 345% |
| Cmh Berrien County | $83 | 345% |
| Cmh Cass County | $83 | 345% |
| Cmh Kalamazoo | $83 | 345% |
| Cmh Kent County | $83 | 345% |
| Cmh Misc | $83 | 345% |
| Cmh Muskegon County | $83 | 345% |
| Cmh North Country | $83 | 345% |
| Cmh Northern Lakes County | $83 | 345% |
| Cmh Ottawa County | $83 | 345% |
| Cmh Van Buren County | $83 | 345% |
| Cmh West Mi County | $83 | 345% |