CMS Price Transparency Data

Speech therapy (group session)

Facility: Perham Health

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $117
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 4.86x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Perham Health is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.86x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $211 (877%)
Insurance Median: $117 (486%)
Cash: $211 (877% of Medicare)
Ins. Median: $117 (486% 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 486% of the Medicare baseline (a markup of 386%). 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.

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 $90 - $219 374%
Health Partners Mcr Adv $110 457%
Humana $110 457%
Medica Mcr Adv $110 457%
Medicare (plans) $110 - $122 457%
Ucare Mn Senior Health Options $110 457%
UnitedHealthcare $113 - $253 470%
Ucare Mn Special Needs Basic Care Dual $116 482%
Medicaid / KanCare $117 486%
Ucare Mn Medical Assistance $117 486%
Ucare Mn Minnesota Care $117 486%
Ucare Mn Senior Care Plus $117 486%
Ucare Mn Special Needs Basic Care $117 486%
Medica Mcaid Mn Care $119 495%
Medica Mn (Msho) $133 553%
Ucare Individual And Family Plan-All Other Plans $134 557%
Medica Mn Senior Hp/Outside Mn $147 611%
Health Partners Minnesota Care $162 674%
Medica Commercial-All Other Plans $237 985%
Preferred One (Pchp, Pic, Pas)-All Other Plans $243 1010%
Health Partners-All Plans $266 1106%
Preferred One (Ppo) $275 1143%
Sanford Health Plan-All Plans $275 1143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals