CMS Price Transparency Data

Speech therapy (group session)

Facility: Lower Bucks Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $26
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Lower Bucks Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.08x the Medicare baseline. Located in 501 Bath Road, Bristol, PA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $24 (100%)
Insurance Median: $26 (108%)
Cash: $24 (100% of Medicare)
Ins. Median: $26 (108% 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.

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
Health Partners Plan $10 - $37 42%
Medicaid / KanCare $10 42%
Keystone $11 - $26 46%
UnitedHealthcare $11 - $27 46%
Humana $20 83%
Blue Cross Blue Shield $25 - $87 104%
Medicare (plans) $25 - $26 104%
Pa Health & Wellness $25 - $30 104%
Tricare $25 104%
Provider Patners Health Plan $26 108%
Spartan Plan Pa $26 108%
Auto Insurance $27 112%
Worker Compensation $28 116%
Employer Direct Healthcare $35 146%
Highmark $53 220%
Cigna $94 391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals