CMS Price Transparency Data

Speech therapy (group session)

Facility: Albany Medical Center Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $31
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Albany Medical Center Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.29x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $26 (108%)
Insurance Median: $31 (129%)
Cash: $26 (108% of Medicare)
Ins. Median: $31 (129% 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 $8 - $260 33%
Cdphp $16 - $214 67%
Medicare (plans) $17 - $26 71%
Fidelis $18 - $214 75%
Blue Cross Blue Shield $19 - $214 79%
Tricare $19 - $23 79%
Blue Shield Highmark $20 - $48 83%
Hamaspik $21 - $223 87%
Mvp $21 - $95 87%
Nascentia Health Options $21 - $84 87%
Emblem $23 - $269 96%
UnitedHealthcare $23 - $122 96%
Blue Shield $24 - $283 100%
Emblem Health Ghi $25 - $50 104%
Nascentia $25 104%
Empire Plan Nyship $31 - $122 129%
Magnacare $31 - $122 129%
Cigna $33 - $41 137%
Multiplan $33 - $129 137%
Nys Department Of Corrections $52 216%
Emblem_Ghi $55 - $358 229%
Mvp Commercial $80 - $296 333%
Mvp Essential Plan $204 848%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals