CMS Price Transparency Data

Speech therapy (group session)

Facility: North Austin Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $27
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at North Austin Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.12x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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%)
Insurance Median: $27 (112%)
Ins. Median: $27 (112% 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
Amerigroup $17 71%
Triwest Health Alliance $24 100%
Wellmed $24 100%
Aetna $25 - $156 104%
Blue Cross Blue Shield $25 - $139 104%
Cigna $25 104%
Devoted Health $25 104%
Humana $25 104%
Odyssey Hospice $25 104%
St David’S Hospice $25 104%
Triwest Healthcare Alliance $25 104%
United $25 104%
UnitedHealthcare $25 104%
American Health Plan Of Texas $26 108%
Provider Partners Health Plan $26 108%
Pyramid Life $26 108%
Shared Health $26 108%
Superior Health Plan $26 108%
Texas Independent Health Plan $26 108%
Wellcare $26 108%
Imperial Insurance $27 112%
Molina Healthcare $27 112%
Universal Health $30 125%
Austin Fc $31 129%
Sendero $33 - $42 137%
Naphcare $38 158%
Seven Corners $38 158%
Corvel Corporation $49 204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals