CMS Price Transparency Data

Speech therapy (group session)

Facility: Children's Hospital of Philadelphia

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $83
Cash Discount Price: $198
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Children's Hospital of Philadelphia is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.45x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$198

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $198 (823%)

Insurance Median: $83 (345%)

Cash: $198 (823% of Medicare)

Ins. Median: $83 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Geisinger Medical Assistance	$14	58%
Medicaid / KanCare	$33	137%
UnitedHealthcare	$33 - $109	137%
Health Partners	$37	154%
Aetna	$52 - $99	216%
Highmark Wholecare	$54	225%
Upmc Medical Assistance	$54	225%
Keystone First Chip	$61	254%
Keystone Health Plan East	$62	258%
Blue Cross Blue Shield	$70 - $79	291%
Horizon Nj Health	$70	291%
Geisinger Health Plan Commercial	$87	362%
Jefferson Health Plans	$93	387%
Cigna	$99	412%
Highmark	$99	412%
Qualcare	$109	453%
First Health Network	$128	532%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$158	657%
Private Health Care Systems	$158	657%
Choice Care Network	$178	740%

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 $198.
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 Children's Hospital of Philadelphia 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.