CMS Price Transparency Data

Speech therapy (group session)

Facility: Jacobi Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $138
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.74x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Jacobi Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.74x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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%)
Insurance Median: $138 (574%)
Ins. Median: $138 (574% 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 574% of the Medicare baseline (a markup of 474%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $16 - $192 67%
Healthfirst $22 - $282 91%
Wellcare $29 121%
Fidelis $39 - $282 162%
Blue Cross Blue Shield $45 - $282 187%
Metroplus $118 - $282 491%
Amidacare $125 520%
Carelon $125 - $194 520%
Senior Whole Health $125 520%
United $125 - $330 520%
United Behavioral Health $125 - $138 520%
Affinity $128 - $282 532%
Carelon (Amida Care) $128 532%
Vnsny $128 - $254 532%
Centerlight $149 620%
Emblem $188 - $228 782%
Elderplan $194 807%
Villagecare Max $209 869%
Magnacare $224 931%
Oxford $236 - $265 981%
Multiplan $239 994%
Cigna $241 1002%
Oscar $251 1044%
Local 1199 $254 1056%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals