CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Houston Healthcare Southeast

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $105
  • Cash Discount Price: $550
  • vs. Medicare Baseline: 4.37x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Houston Healthcare Southeast is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.37x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$550

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $550 (2287%)
Insurance Median: $105 (437%)
Cash: $550 (2287% of Medicare)
Ins. Median: $105 (437% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 437% of the Medicare baseline (a markup of 337%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Superior Health Plan $18 - $54 75%
Amerigroup $24 - $126 100%
Blue Cross Blue Shield $24 - $315 100%
Chc Harris Health $24 100%
Christus (Usfhp) $24 100%
Cigna $24 - $719 100%
Devoted Health $24 100%
Humana $24 - $220 100%
Kelsey Seybold $24 100%
Oscar $24 - $175 100%
Renaissance Ipa Radiology $24 100%
Triwest Healthcare Alliance $24 100%
Van Lang Ipa $24 100%
Wellmed $24 100%
American Health Plan $25 104%
Integranet Amerigroup Ipa $25 104%
Procare Advantage $25 104%
Shared Health $25 104%
United $25 - $404 104%
Wellcare $25 104%
Molina $26 108%
Provider Partners Health Plan Of Texas $26 108%
Kindred Hospital $28 116%
Universal Healthcare Group $29 121%
Verda Health Plan $31 129%
Community Health Choice $35 146%
Superior $35 - $37 146%
Community Health Choice Mcd $39 - $117 162%
Corvel Corporation $48 200%
Omni Healthcare $51 212%
Molina Healthcare $52 216%
Texas Childrens Health Plans $53 - $213 220%
Texas Workforce Commission $72 - $216 299%
Aetna $75 - $135 312%
Healthsmart Preferred Care $129 - $764 536%
Fidelis Securecare Of Tx $135 - $404 561%
Multiplan $150 - $809 624%
Coventry National First Health $160 - $479 665%
Physicians Cooperative Of Texas $165 - $494 686%
Rockport Workers Comp $165 - $494 686%
Beech Street $180 - $719 748%
Independent Medical System $180 - $539 748%
National Healthcare Solutions $180 - $539 748%
Prime Health Services $180 - $539 748%
Southwest Medical $180 - $539 748%
Coastal Comp $195 - $584 811%
Fiesta Mart, Inc $225 - $674 936%
Physicians, Inc $255 - $764 1060%
Affiliated Ppo $270 - $809 1123%
Texas Athletic Network $300 - $600 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals