CMS Price Transparency Data

Speech therapy (group session)

Facility: Tristar Southern Hills Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $33
  • Cash Discount Price: $264
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Tristar Southern Hills Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.37x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.
Cash / Self-Pay
$264

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: $264 (1098%)
Insurance Median: $33 (137%)
Cash: $264 (1098% 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.

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 $16 67%
Aetna $23 - $326 96%
Amerigroup $23 96%
Blue Cross Blue Shield $23 - $48 96%
Devoted Health Plan $23 96%
Healthspring $23 96%
Humana $23 - $66 96%
Odyssey Healthcare $23 96%
Sarah Cannon Research $23 96%
United $23 - $119 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 - $63 108%
Corvel Corporation $33 137%
Novanet $33 137%
Prime Health $33 - $232 137%
Oscar $48 200%
Kentucky Labor Cabinet $49 204%
Apex Health $50 208%
Nhc Advantage, Inc. $50 208%
Pruitt Health (Allyalign) $50 208%
Ambetter / Centene $59 - $61 245%
Cigna $66 - $86 274%
Bgfh Singlesource $132 - $224 549%
Multiplan $153 636%
Employers Health Network $185 769%
Odom'S Tn Pride Sausage $198 823%
Beech Street $232 965%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals