CMS Price Transparency Data

Speech therapy (group session)

Facility: Rehoboth McKinley Christian Health Care Services

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $370
Cash Discount Price: $171
vs. Medicare Baseline: 15.38x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Rehoboth McKinley Christian Health Care Services is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 15.38x the Medicare baseline. Located in 1901 Red Rock Drive, Gallup, NM.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$370

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: $171 (711%)

Insurance Median: $370 (1538%)

Cash: $171 (711% of Medicare)

Ins. Median: $370 (1538% 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 1538% of the Medicare baseline (a markup of 1438%). 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
Medicare (plans)	$97 - $177	403%
Triwest	$97 - $177	403%
Usa	$107 - $194	445%
Coventry	$242 - $442	1006%
UnitedHealthcare	$303 - $552	1260%
Health West	$323 - $589	1343%
Three Rivers	$323 - $589	1343%
Blue Cross Blue Shield	$343 - $626	1426%
Integrated Health	$343 - $626	1426%
Humana	$364 - $662	1514%
Multiplan	$364 - $662	1514%
Cigna	$376 - $684	1563%
Presbyterian	$376 - $684	1563%
Associated Plan Administrators	$384 - $699	1597%

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 $171.
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 Rehoboth McKinley Christian Health Care Services 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.