CMS Price Transparency Data

Speech therapy (group session)

Facility: Tristar Horizon Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $33
Cash Discount Price: $571
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Tristar Horizon Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.37x the Medicare baseline. Located in 111 Highway 70 East, Dickson, TN.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $571 (2374%)

Insurance Median: $33 (137%)

Cash: $571 (2374% of Medicare)

Ins. Median: $33 (137% 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
Wellpoint	$20	83%
Aetna	$23 - $326	96%
Amerigroup	$23	96%
Blue Cross Blue Shield	$23 - $48	96%
Devoted Health Plan	$23	96%
Healthspring	$23	96%
Humana	$23 - $143	96%
Sarah Cannon Research	$23	96%
United	$23 - $257	96%
Wellcare	$23	96%
Zing	$23	96%
American Health Advantage	$24	100%
Evergreen Hmo	$24	100%
Signature Advantage	$24	100%
Atrio Golden Times	$25	104%
Bright Health	$26 - $137	108%
Corvel Corporation	$33	137%
Novanet	$33	137%
Prime Health	$33	137%
Kentucky Labor Cabinet	$105	437%
Oscar	$105	437%
Apex Health	$109	453%
Nhc Advantage, Inc.	$109	453%
Pruitt Health (Allyalign)	$109	453%
Ambetter / Centene	$127 - $133	528%
Cigna	$144 - $457	599%
Bgfh Singlesource	$286 - $486	1189%
Employers Health Network	$400	1663%
Odom'S Tn Pride Sausage	$429	1784%
Multiplan	$514	2137%
Beech Street	$526	2187%

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 $571.
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 Tristar Horizon Medical Center 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.