CMS Price Transparency Data

Speech therapy (group session)

Facility: St Joseph's University Medical Center Inc

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $38
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at St Joseph's University Medical Center Inc is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.58x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $211 (877%)
Insurance Median: $38 (158%)
Cash: $211 (877% of Medicare)
Ins. Median: $38 (158% 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 $20 - $55 83%
Fidelis Care of New Jersey $20 - $42 83%
UnitedHealthcare $20 - $343 83%
Consumer Health Network $25 - $190 104%
Ambetter / Centene $27 - $40 112%
Amerihealth $27 - $134 112%
Blue Cross Blue Shield $27 - $184 112%
Clover Health $27 112%
Horizon New Jersey Total Care $27 112%
Wellpoint $27 - $41 112%
Longevity Health Plan $31 129%
Multiplan $40 - $158 166%
Horizon New Jersey Health $65 270%
Private Healthcare Systems $137 570%
Magnacare $148 615%
Oscar $199 827%
Cigna $211 877%
Oxford $316 1314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals