CMS Price Transparency Data

Speech therapy (group session)

Facility: Carlsbad Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $143
Cash Discount Price: $42
vs. Medicare Baseline: 5.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Carlsbad Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.95x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $42 (175%)

Insurance Median: $143 (595%)

Cash: $42 (175% of Medicare)

Ins. Median: $143 (595% 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 595% of the Medicare baseline (a markup of 495%). 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
Medicaid / KanCare	$21 - $44	87%
Blue Cross Blue Shield	$23 - $250	96%
Department Of Veterans Affairs	$23	96%
Medicare (plans)	$23	96%
Node Molina Mcr Adv	$23	96%
Node Va	$23	96%
Presbyterian	$23 - $200	96%
Tricare	$23	96%
Triwest	$23	96%
Veterans Eval Services	$23	96%
Node Choice Care Mcr Adv	$24	100%
Node Devoted Health Mcr Adv	$24	100%
UnitedHealthcare	$24 - $183	100%
Self Pay	$28 - $55	116%
Wexford Health	$29	121%
Us Department Of Labor	$36	150%
Node Molina Health Exchange	$63	262%
Nm Health Connection	$92	383%
Work Comp Nm	$100	416%
Eddy County Detention	$138	574%
Zelis	$175 - $233	728%
Omni Network	$180	748%
Capstar	$183	761%
Cigna	$192 - $232	798%
Choice Care	$194	807%
Ccn First Health	$222	923%
Healthsmart	$224 - $238	931%
Aetna	$233	969%
Multiplan	$233	969%
Medical Control Inc	$258	1073%

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 $42.
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 Carlsbad 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.