CMS Price Transparency Data

Speech therapy (group session)

Facility: Medical Center Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $57
Cash Discount Price: $93
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Medical Center Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.37x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $93 (387%)

Insurance Median: $57 (237%)

Cash: $93 (387% of Medicare)

Ins. Median: $57 (237% 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 237% of the Medicare baseline (a markup of 137%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Corvel Wc	$19	79%
Medicaid / KanCare	$20 - $21	83%
Superior Chips	$20	83%
UnitedHealthcare	$22 - $160	91%
Aetna	$23 - $96	96%
Care Improvement Plus	$23	96%
Humana	$23	96%
Novitas Solutions	$23	96%
Triwest Va Ccn	$23	96%
Ambetter / Centene	$24	100%
Wellcare By Allwell	$24	100%
Group Resources	$28	116%
Blue Cross Blue Shield	$33 - $62	137%
Health Select	$44 - $62	183%
Workers Comp	$47	195%
90 Degree Benefits	$70	291%
Caprock	$72 - $85	299%
State Comptroller	$72	299%
Healthsmart Preferred Care	$79 - $87	328%
Texas Mutual Wc	$96	399%
Firstcare	$110	457%
Geha	$147	611%
Cigna	$218	906%

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 $93.
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 Medical Center Hospital 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.