CMS Price Transparency Data

Speech therapy (group session)

Facility: St Mary Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $45
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at St Mary Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.87x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $225 (936%)
Insurance Median: $45 (187%)
Cash: $225 (936% of Medicare)
Ins. Median: $45 (187% 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
Medicaid / KanCare $12 - $24 50%
Aetna $14 - $308 58%
UnitedHealthcare $16 - $183 67%
Keystone First $24 100%
Keystone First Chip $24 100%
Align Senior Care $25 104%
Blue Cross Blue Shield $25 - $66 104%
Cigna $25 - $358 104%
Medicare (plans) $26 - $45 108%
Health America Advantra $30 125%
Ambetter / Centene $45 187%
Jefferson Health Plan Commercial $45 187%
Oscar $45 187%
Pace-Trinity Health $45 187%
Prime Healthcare $45 187%
Homestead Health Plans Woods Center $49 204%
Group Pension Administrators $56 233%
Reedman Toll $56 233%
Amerihealth $66 274%
Blue Shield - Ca $66 274%
Blue Shield - Id (Regence) $66 274%
Blue Shield - Ny Highmark Western $66 274%
Blue Shield - Wa (Regence) $66 274%
Blue Shield - Pa (Highmark) $67 279%
Geha $183 761%
Meritain $308 1281%
Multiplan $311 1293%
Prime Health Services $311 1293%
Galaxy Health Network $329 1368%
Three Rivers Provider Network $329 1368%
Upmc Health Plan $358 1489%
Webtpa $358 1489%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals