CMS Price Transparency Data

Speech therapy (group session)

Facility: Physicians Regional Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $24
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Physicians Regional Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.00x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$39

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: $39 (162%)
Insurance Median: $24 (100%)
Cash: $39 (162% 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
Amerigroup $19 - $24 79%
Amerigroup Community Care $19 79%
Blue Cross Blue Shield $19 - $78 79%
Tricare $21 87%
Department Of Veterans Affairs $22 91%
Humana $22 91%
Medicare (plans) $22 91%
Node Bluecare Plus Tn Mcr Adv $22 - $23 91%
UnitedHealthcare $22 - $216 91%
Veterans Eval Services $22 91%
Aetna $23 - $156 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%
Wellcare $24 100%
Node Nhc Mcr Adv $25 104%
Novanet Work Comp Tn $33 137%
Occunet Work Comp Tn $33 137%
Tn Work Comp $33 137%
Node Us Dept Of Labor $36 150%
Us Department Of Labor $36 150%
Self Pay $38 - $39 158%
Ambetter / Centene $42 175%
Node Point Comfort Underwriters $42 175%
Medicaid / KanCare $45 187%
Multiplan $94 - $124 391%
Cigna $133 553%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals