CMS Price Transparency Data

Speech therapy (group session)

Facility: Novant Health Forsyth Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $102
Cash Discount Price: $96
vs. Medicare Baseline: 4.24x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Novant Health Forsyth Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.24x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $96 (399%)

Insurance Median: $102 (424%)

Cash: $96 (399% of Medicare)

Ins. Median: $102 (424% 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 424% of the Medicare baseline (a markup of 324%). 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
Amerihealth	$24 - $37	100%
Blue Cross Blue Shield	$24 - $139	100%
Carolina Complete	$24 - $36	100%
Nc Department Of Public Safety	$24 - $36	100%
UnitedHealthcare	$24 - $130	100%
Wellcare	$24 - $37	100%
Cigna	$50 - $115	208%
Caresource North Carolina	$51 - $77	212%
Aetna	$64 - $154	266%
Atlantic Corporation Dba Atlantic Packaging	$72 - $109	299%
Plotkin Health	$77 - $116	320%
Amps	$83 - $125	345%
Humana	$100 - $150	416%
Medcost	$109 - $181	453%
Primary Physician Care	$113 - $170	470%
Beechstreet	$115 - $174	478%
Multiplan	$115 - $174	478%
Phcs	$115 - $174	478%
Employers Choice Network	$124 - $187	516%
Three Rivers Provider Network	$124 - $187	516%

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 $96.
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 Novant Health Forsyth Medical Center 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.