CMS Price Transparency Data

Speech therapy (group session)

Facility: Ira Davenport Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $139
Cash Discount Price: $304
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Ira Davenport Memorial Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $304. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.78x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$304

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $304 (1264%)

Insurance Median: $139 (578%)

Cash: $304 (1264% of Medicare)

Ins. Median: $139 (578% 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 578% of the Medicare baseline (a markup of 478%). 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
Empire	$19 - $22	79%
Amerihealth Caritas Mcr Adv - All Plans	$23	96%
Blue Cross Blue Shield	$23 - $1,368	96%
Humana	$23 - $406	96%
Tricare	$23	96%
Fidelis	$32	133%
Fidelis Care - Exchange - All Plans	$87 - $248	362%
Geisinger - All Plans	$92 - $262	383%
Cigna	$98 - $281	407%
Mvp Health Plan - All Plans	$98 - $281	407%
Independent Health - All Plans	$103 - $293	428%
Upmc - All Plans	$109 - $311	453%
Pomco Inc - All Plans	$114 - $325	474%
Aetna	$119 - $338	495%
UnitedHealthcare	$119 - $338	495%
Emblem Health - All Plans	$139 - $397	578%
Martins Point - All Plans	$158 - $451	657%
Healthnow - All Plans	$521 - $1,485	2166%

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 $304.
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 Ira Davenport Memorial Hospital 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.