CMS Price Transparency Data

Speech therapy (group session)

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $172
Cash Discount Price: $175
vs. Medicare Baseline: 7.15x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Texas Health Presbyterian Hospital Plano is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.15x the Medicare baseline. Located in 6200 W Parker Rd, Plano, TX.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

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: $175 (728%)

Insurance Median: $172 (715%)

Cash: $175 (728% of Medicare)

Ins. Median: $172 (715% 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 715% of the Medicare baseline (a markup of 615%). 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
American Health	$23	96%
Blue Cross Blue Shield	$23 - $198	96%
Healthspring	$24	100%
Humana	$24	100%
Amerigroup	$25 - $44	104%
Molina	$25 - $47	104%
Superior Wellcare	$25 - $46	104%
UnitedHealthcare	$26 - $401	108%
Parkland	$27 - $44	112%
Aetna	$92 - $251	383%
City Of Fort Worth	$106 - $168	441%
Quick Trip	$135 - $225	561%
Fort Worth Firefighters	$137 - $250	570%
Phcs	$156 - $266	649%
Healthsmart	$168 - $300	699%
Multiplan	$195 - $311	811%
Galaxy	$198 - $315	823%
Usa	$198 - $315	823%
Cigna	$211 - $396	877%

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 $175.
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 Texas Health Presbyterian Hospital Plano 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.