CMS Price Transparency Data

Speech therapy (group session)

Facility: Capital Health Regional Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $42
  • Cash Discount Price: $350
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Capital Health Regional Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.75x the Medicare baseline. Located in 750 Brunswick Ave, Trenton, NJ.
Cash / Self-Pay
$350

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $350 (1455%)
Insurance Median: $42 (175%)
Cash: $350 (1455% of Medicare)
Ins. Median: $42 (175% 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
UnitedHealthcare $14 - $368 58%
Medicaid / KanCare $15 62%
Wellpoint $15 - $26 62%
Aetna $19 - $105 79%
Fidelis $25 104%
Clover $26 108%
Humana $26 108%
Medicare (plans) $26 108%
Blue Cross Blue Shield $35 - $42 146%
Horizon Nj Health $60 249%
Oxford Benefit Plan $88 366%
Cigna $177 - $295 736%
Multiplan $298 1239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 Brunswick Ave, Trenton, NJ 08638
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals