CMS Price Transparency Data

Speech therapy (group session)

Facility: Blount Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $45
Cash Discount Price: $23
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Blount Memorial Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.87x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$23

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: $23 (96%)

Insurance Median: $45 (187%)

Cash: $23 (96% 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.

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
Medicaid / KanCare	$6 - $45	25%
UnitedHealthcare	$6 - $190	25%
Prisma Health Seniorcare Pace - Midlands [5400]	$8 - $68	33%
Prisma Health Seniorcare Pace-Upstate [5200]	$8 - $68	33%
Promise Health Plan Contracted [2401]	$13 - $175	54%
Orangeburg Senior Helping Center Pace [5401]	$14 - $116	58%
Bob Jones Univ-Pai [821]	$22 - $175	91%
Blue Cross Blue Shield	$23 - $95	96%
Cigna	$23 - $186	96%
Humana	$23	96%
Medicare (plans)	$23	96%
Tricare	$23	96%
Preferred Administrators Contracted [2839]	$25 - $204	104%
Atlantic Packaging Contracted [4833]	$27 - $218	112%
Medcost [2940]	$27 - $242	112%
Aps Healthcare System [2981]	$29 - $233	121%
Aetna	$32 - $262	133%
Meritain Health Contracted [2200]	$32 - $262	133%
Multiplan/Phcs Contracted [2950]	$32 - $259	133%
Nippon [2300]	$32 - $262	133%
Vsp Vision Care [2986]	$32 - $262	133%
First Health Contracted [2952]	$33 - $271	137%
Furman Int/Allen University Student [2951]	$33 - $271	137%
Quiktrip-First Health [3067]	$33 - $271	137%
Ambetter / Centene	$35	146%
Consociate Health Contracted [4835]	$50	208%
Fairos/Occunet Contracted [4837]	$175	728%
Mvp Health Care [3037]	$186	773%
Golden Rule Insurance Company [2991]	$190	790%
Oxford Health Plans [2992]	$190	790%

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 $23.
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 Blount 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.