CMS Price Transparency Data

Speech therapy (group session)

Facility: Medical City Lewisville

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $110
  • Cash Discount Price: $409
  • vs. Medicare Baseline: 4.57x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Medical City Lewisville is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.57x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$409

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $409 (1701%)
Insurance Median: $110 (457%)
Cash: $409 (1701% of Medicare)
Ins. Median: $110 (457% 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 457% of the Medicare baseline (a markup of 357%). 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 $13 - $41 54%
Humana $22 - $162 91%
Amerigroup $23 96%
Blue Cross Blue Shield $23 - $259 96%
Devoted Health $23 96%
Mutual Of Omaha $23 96%
Triwest Health Alliance $23 96%
United $23 - $116 96%
Wellmed $23 96%
Aetna $24 - $424 100%
Care N Care $24 100%
Cigna $24 - $82 100%
Integranet $24 100%
Wellcare $24 100%
American Health Plan Of Texas, Inc. $25 104%
Molina $25 104%
Procare Advantge $25 104%
Provider Partners Health Plan $25 104%
Texas Independent Health Plan $25 104%
Imperial Insurance Company $26 108%
Universal Healthcare Group $28 116%
Verda Health Plan $30 125%
Bravo Health $35 146%
Oscar $39 - $121 162%
Superior $42 - $52 175%
Usa Managed Care $44 - $467 183%
Unicare $45 - $583 187%
Corvel Corporation $46 191%
Molina Healthcare $61 254%
Healthcare Highways $63 - $197 262%
City Of Mckinney $84 - $263 349%
Fidelis Securecare $84 - $263 349%
National Choicecare $93 - $292 387%
Pc Texas Partners $102 - $321 424%
Physicians Coop Of Tx $102 - $321 424%
Rockport Health Group $102 - $321 424%
Averde Health, Inc $108 - $338 449%
Usc Health Services $112 - $350 466%
Coastal Comp Health Networks $130 - $408 541%
Jostens $130 - $408 541%
Mega Life $130 - $408 541%
Multiplan Phcs $130 - $408 541%
Healthsmart Preferred Care $139 - $438 578%
Lewisville Isd/Dls Consulting $139 - $438 578%
Galaxy Health Network $158 - $496 657%
Independent Medical Systems $186 - $583 773%
National Healthcare Solutions $186 - $583 773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals