CMS Price Transparency Data

Speech therapy (group session)

Facility: Caromont Regional Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $31
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Caromont Regional Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.29x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $112 (466%)
Insurance Median: $31 (129%)
Cash: $112 (466% of Medicare)
Ins. Median: $31 (129% 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
Alliance Behavioral Health $17 71%
Amerihealth Caritas $17 71%
Blue Cross Blue Shield $17 - $30 71%
Carolina Complete Health $17 71%
Carolina Complete Health Tailored Plans $17 71%
Partners Behavioral Health $17 71%
UnitedHealthcare $17 - $148 71%
Vaya Behavioral Health $17 71%
Wellcare $17 71%
Aetna $24 - $55 100%
Devoted Health $24 100%
Healthteam $24 100%
Longevity Health $24 100%
Molina $24 - $31 100%
Humana $25 - $99 104%
Absolute Total Care $31 129%
Gaston County Jail $34 141%
Surgery Plus $40 166%
Cigna $43 - $134 179%
Carolina Caring $58 - $89 241%
Corporate Benefits Service $62 258%
Medcost $76 316%
Beech Street $92 383%
Multiplan $92 383%
Self Pay $101 420%
First Health Network $106 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals