CMS Price Transparency Data

Speech therapy (group session)

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $27
Cash Discount Price: $243
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at St John's Episcopal Hospital at South Shore is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.12x the Medicare baseline. Located in 327 Beach 19Th Street, Far Rockaway, NY.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $243 (1010%)

Insurance Median: $27 (112%)

Cash: $243 (1010% of Medicare)

Ins. Median: $27 (112% 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.

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
Healthfirst	$23 - $61	96%
Vns	$26 - $27	108%
Aetna	$27 - $38	112%
Blue Cross Blue Shield	$27 - $41	112%
Centerlight	$27	112%
Centers Plan For Healthy Living	$27	112%
Elderplan	$27	112%
Emblem Health	$27	112%
Fidelis	$27	112%
Hamaspik	$27	112%
Humana	$27	112%
Longevity	$27	112%
Lucida	$27	112%
Metroplus	$27	112%
UnitedHealthcare	$27	112%
Village Care Max	$27	112%
Wellcare	$27	112%
Molina	$30	125%
Magnacare	$174	723%

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 $243.
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 St John's Episcopal Hospital at South Shore 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.