CMS Price Transparency Data

Speech therapy (group session)

Facility: Mercy Hospital Southeast

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $30
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Mercy Hospital Southeast is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.25x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $246 (1023%)
Insurance Median: $30 (125%)
Cash: $246 (1023% of Medicare)
Ins. Median: $30 (125% 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.

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
Aetna $21 - $242 87%
Auxiant Contracted [320462] $21 - $43 87%
Blue Cross Blue Shield $21 - $359 87%
Cross Timbers Hospice [20098] $21 87%
Dept Of Veteran Affairs Contracted [320106] $21 87%
Elara Caring Aspire Hospice Contracted [320433] $21 87%
Elara Caring Aspire Hospice [20433] $21 87%
Halo Hcr Inc Hospice Contracted [320432] $21 87%
Halo Hcr Inc Hospice [20432] $21 87%
Healthlink Contracted [320179] $21 - $295 87%
Humana $21 - $321 87%
Imagine 360 Contracted [320494] $21 87%
Kindful Hospice Contracted [320434] $21 87%
Kindful Hospice [20434] $21 87%
Medicaid / KanCare $21 - $57 87%
Medicare (plans) $21 - $22 87%
Mercy Benefit Admin Contracted [320251] $21 - $257 87%
Mercy Hospice Okc [20252] $21 87%
Pace Of The Ozarks Contracted [320518] $21 87%
Tricare $21 87%
Ambetter / Centene $22 91%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $22 91%
Home State Health Plan Contracted [320187] $22 91%
Hope Trust Contracted [320488] $22 91%
UnitedHealthcare $22 - $32 91%
United Medical Resources Contracted [320454] $24 100%
Provider Partners Health Plans Contracted [320450] $25 104%
Consociate Consolidated Health Contracted [320490] $30 - $48 125%
Centivo Contracted [320505] $36 150%
Ebms Contracted [320493] $36 150%
Preferred Health Plan Contracted [320522] $38 158%
Reflect Health Contracted [320492] $39 162%
First Health Contracted [320128] $242 1006%
Health Alliance Contracted [320164] $246 1023%
Aither Health Contracted [320449] $257 1069%
Edison Health Solutions Contracted [320502] $257 1069%
Mercy Benefit Admin [20251] $257 1069%
Yuzu Health Contracted [320521] $257 1069%
Workers Comp [20426] $284 - $302 1181%
Cigna $286 1189%
Multiplan Contracted [320270] $302 1256%
Private Health Care Systems Contracted [320320] $302 1256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals