CMS Price Transparency Data

Speech therapy (group session)

Facility: Adventist Health Tillamook

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $509
Cash Discount Price: $295
vs. Medicare Baseline: 21.16x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Adventist Health Tillamook is $509. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 21.16x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$295

Average discount available for prompt cash payment at this facility.

Insurance Median

$509

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: $295 (1227%)

Insurance Median: $509 (2116%)

Cash: $295 (1227% of Medicare)

Ins. Median: $509 (2116% 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 2116% of the Medicare baseline (a markup of 2016%). 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
Blue Cross Blue Shield	$257 - $476	1069%
Medicare (plans)	$257	1069%
Moda Health Plan - All Plans	$257	1069%
Hvhs Mcare - All Plans	$260	1081%
Sterling Life - All Plans	$267	1110%
Devoted Health	$278	1156%
Aetna	$285 - $509	1185%
Lifewise - All Plans	$493	2050%
Ah Employee Health Plan - All Plans	$514	2137%
First Choice Health- All Plans	$514	2137%
Health Net - All Plans	$514	2137%
Cigna	$520	2162%
Phcs Preferred - All Plans	$520	2162%
UnitedHealthcare	$520	2162%
Pacificsource - All Plans	$525	2183%
Ods Health Plan - All Other Plans	$531	2208%
Providence Preferred - All Plans	$536	2229%
Workers Comp	$547	2274%

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 $295.
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 Adventist Health Tillamook 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.