CMS Price Transparency Data

Speech therapy (group session)

Facility: St Louis Childrens Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $188
Cash Discount Price: $176
vs. Medicare Baseline: 7.82x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at St Louis Childrens Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.82x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$176

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $176 (732%)

Insurance Median: $188 (782%)

Cash: $176 (732% of Medicare)

Ins. Median: $188 (782% 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 782% of the Medicare baseline (a markup of 682%). 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	$103 - $210	428%
Consociate [478]	$113 - $221	470%
Sarah Bush Lincoln [636]	$113 - $221	470%
Blue Cross Blue Shield	$115 - $268	478%
Cox Health Systems Insurance Company [220]	$115 - $224	478%
Allied Benefits [498]	$121 - $237	503%
Hope Trust [806]	$121 - $237	503%
Healthscope Benefits [258]	$149 - $326	620%
UnitedHealthcare	$149 - $291	620%
Humana	$156 - $304	649%
Healthcare Sol Mercy [609]	$157 - $306	653%
Med-Pay [480]	$157 - $306	653%
Medica [661]	$167 - $326	694%
Phcs [244]	$167 - $326	694%

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 $176.
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 St Louis Childrens 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.