CMS Price Transparency Data

Speech therapy (group session)

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $23
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Atlantic Rehabilitation Institute, LLC is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 0.96x the Medicare baseline. Located in 200 Madison Ave, Madison, NJ.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $23 (96%)
Insurance Median: $23 (96%)
Cash: $23 (96% of Medicare)
Ins. Median: $23 (96% 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 $19 - $26 79%
All Savers Cpd $19 - $26 79%
Ama Insurance Msg $19 - $26 79%
Ambetter / Centene $19 - $26 79%
Amerigroup Mgg (Wellpoint As Of 5/1/24) $19 - $26 79%
Amerihealth Cpd $19 - $26 79%
Amerihealth Mgg $19 - $26 79%
Blue Cross Blue Shield $19 - $26 79%
Braven Health Cpd $19 - $26 79%
Braven Health Mgd $19 - $26 79%
Cigna $19 - $26 79%
Claim Doc Llc Cpd $19 - $26 79%
First Managed Care Wc Cpd $19 - $26 79%
Gateway Mgg $19 - $26 79%
Medicaid / KanCare $19 - $26 79%
Oscar Health Cpd $19 - $26 79%
Oxford Health Plan Cpd $19 - $26 79%
Oxford Mgg $19 - $26 79%
Qualcare Cpd $19 - $26 79%
Qualcare Lynx Wc Cpd $19 - $26 79%
UnitedHealthcare $19 - $26 79%
Upmc For Life Mgg $19 - $26 79%
Wellcare Mgg $19 - $26 79%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL