CMS Price Transparency Data

Speech therapy (group session)

Facility: Baptist Memorial Hospital North Ms

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $199
Cash Discount Price: $83
vs. Medicare Baseline: 8.27x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Baptist Memorial Hospital North Ms is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 8.27x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $83 (345%)

Insurance Median: $199 (827%)

Cash: $83 (345% of Medicare)

Ins. Median: $199 (827% 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 827% of the Medicare baseline (a markup of 727%). 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
Aetna	$13 - $235	54%
Advanced Health Systems Inc.	$26	108%
Blue Cross Blue Shield	$26	108%
Magnolia Ms	$80	333%
Ums Athletic Dept	$101	420%
Ppo Holdings	$138	574%
Magnolia Regional Health Center	$145	603%
UnitedHealthcare	$160 - $237	665%
Littler	$181	753%
Molina	$181	753%
Mpcn	$188	782%
Cigna	$199	827%
Primewell	$217	902%
Humana	$239	994%
First Choice Health Plan Of Ms	$253	1052%
Multiplan	$272	1131%
Novasys	$272	1131%
Christian Health Aid	$290	1206%
Ppo Plus	$308	1281%
Qca	$326	1356%

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 $83.
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 Baptist Memorial Hospital North Ms 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.