CMS Price Transparency Data

Speech therapy (group session)

Facility: Lafollette Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $24
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Lafollette Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.00x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $52 (216%)
Insurance Median: $24 (100%)
Cash: $52 (216% of Medicare)
Ins. Median: $24 (100% 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
Blue Cross Blue Shield $15 - $100 62%
Bluecare $15 - $17 62%
Amerigroup $19 79%
Tricare $21 87%
Humana $22 - $38 91%
Medicare (plans) $22 91%
Node Bluecare Plus Tn Mcr Adv $22 91%
Node Champva $22 91%
Triwest $22 91%
UnitedHealthcare $22 - $306 91%
Veterans Eval Services $22 91%
Aetna $23 - $108 96%
Node Blueadvantage Mcr Adv $23 96%
Node Devoted Health Mcr Adv $23 96%
Node Farm Bureau Mcr Adv $23 96%
Node Healthspring Mcr Adv $23 96%
Node Hospice Non Par Agree $23 96%
Node Va $23 96%
Node Wellcare Mcr Adv $23 96%
Node Amerigroup Mcr Adv $24 100%
Windsor Health Plan $24 100%
Node Nhc Mcr Adv $25 104%
Novanet Work Comp Tn $33 137%
Tn Work Comp $33 137%
Node Us Dept Of Labor $36 150%
Ambetter / Centene $42 175%
Medicaid / KanCare $44 - $48 183%
Wellcare $44 183%
Node Point Comfort Underwriters $50 208%
Self Pay $50 208%
Multiplan Complementary $132 549%
Cigna $134 557%
Beech Street Work Comp Tn $3,377 14042%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals