CMS Price Transparency Data

Speech therapy (group session)

Facility: Johnson City Medical Center

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 Johnson City Medical Center 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 400 N State of Franklin Rd, Johnson City, 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.

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 $16 - $116 67%
Aetna $23 - $96 96%
Amerigroup $23 - $24 96%
Humana $23 96%
Managed Medicaire $23 96%
Medicare (plans) $23 96%
Mountain Empire Pace $23 96%
Sentara Health $23 - $53 96%
United Mine Workers Of America $23 96%
UnitedHealthcare $23 - $151 96%
Cigna $24 - $73 100%
Devoted Health Plan $24 100%
Molina Healthcare $24 - $47 100%
Nhc Advantage $24 100%
Wellcare $24 - $151 100%
Optima Health $45 187%
Ambetter / Centene $50 208%
Medcost $53 220%
First Health Coventry $113 470%
Seven Corners, Inc. $151 628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals