CMS Price Transparency Data

Speech therapy (group session)

Facility: NYU Langone Hospitals

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $140
Cash Discount Price: $34
vs. Medicare Baseline: 5.82x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at NYU Langone Hospitals is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.82x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $34 (141%)

Insurance Median: $140 (582%)

Cash: $34 (141% of Medicare)

Ins. Median: $140 (582% 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 582% of the Medicare baseline (a markup of 482%). 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
Fidelis	$24 - $335	100%
Healthfirst	$24 - $335	100%
Healthplus	$24 - $335	100%
Amida	$27	112%
Centerlight	$27 - $28	112%
Ghi	$27 - $360	112%
Hip	$27 - $360	112%
Medicare (plans)	$27	112%
Wellcare	$27	112%
Metroplus	$38 - $335	158%
Hamaspik	$40 - $41	166%
1199	$78	324%
Medicaid / KanCare	$105 - $149	437%
UnitedHealthcare	$105 - $381	437%
Somos	$110 - $201	457%
Blue Cross Blue Shield	$140 - $175	582%
Multiplan	$140	582%
Aetna	$180 - $313	748%
Oscar	$239	994%
Oxford	$308 - $358	1281%
Magnacare	$370 - $596	1538%
Cigna	$393	1634%

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 $34.
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 NYU Langone Hospitals 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.