CMS Price Transparency Data

Speech therapy (group session)

Facility: Cook Childrens Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $130
Cash Discount Price: $211
vs. Medicare Baseline: 5.41x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Cook Childrens Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.41x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $211 (877%)

Insurance Median: $130 (541%)

Cash: $211 (877% of Medicare)

Ins. Median: $130 (541% 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 541% of the Medicare baseline (a markup of 441%). 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
Health Plan W. Uhrip	$38 - $147	158%
Health Plan W/O Uhrip	$38 - $130	158%
Rightcare	$40 - $170	166%
Beacon	$42 - $170	175%
Firstcare	$42 - $310	175%
Aetna	$55 - $329	229%
United Community	$61 - $136	254%
Wellpoint	$61 - $136	254%
Blue Cross Blue Shield	$63 - $348	262%
Molina	$65 - $143	270%
El Paso Health First	$77 - $170	320%
Superior Health	$77 - $170	320%
Tx Children Health	$77 - $170	320%
UnitedHealthcare	$77 - $329	320%
S&W Health	$147 - $325	611%
Cigna	$149 - $329	620%
Healthscope	$149 - $329	620%
Imagine Health	$149 - $329	620%
Humana	$152 - $341	632%
Multiplan	$152 - $337	632%
First Health	$154 - $341	640%
Galaxy Health	$157 - $348	653%
Healthsmart	$157 - $348	653%
Usamco	$161 - $356	669%

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 $211.
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 Cook Childrens Medical Center 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.