CMS Price Transparency Data

Speech therapy (group session)

Facility: Ocean Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $139
Cash Discount Price: $30
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Ocean Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.78x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $30 (125%)

Insurance Median: $139 (578%)

Cash: $30 (125% of Medicare)

Ins. Median: $139 (578% 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 578% of the Medicare baseline (a markup of 478%). 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	$25 - $148	104%
Amerigroup	$30 - $38	125%
Horizon	$30 - $188	125%
Vaccn	$30	125%
Clover	$31	129%
United Community/Americhoice	$32	133%
Seoul Medical Group	$34 - $37	141%
UnitedHealthcare	$36 - $620	150%
Karna	$41 - $42	170%
Cigna	$87 - $167	362%
Blue Cross Blue Shield	$104	432%
Horizon - Jri@Oumc	$116 - $205	482%
Activecare First McO	$122 - $148	507%
Intergroup	$122	507%
Bergen Risk	$130	541%
Qualcare	$135 - $306	561%
Prime Health	$139	578%
Multiplan - PHCS	$148	615%
Amerihealth	$150 - $172	624%
Brighton Health Plan	$157 - $294	653%
Oxford - Jri@Oumc	$193	802%
Wellcare	$224	931%
Brighton Health Plan - Jri@Oumc	$280	1164%
Oxford	$413 - $861	1717%

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 $30.
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 Ocean 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.