CMS Price Transparency Data

Speech therapy (group session)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $178
Cash Discount Price: $290
vs. Medicare Baseline: 7.40x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Cook Childrens Medical Center Prosper is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.40x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$290

Average discount available for prompt cash payment at this facility.

Insurance Median

$178

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: $290 (1206%)

Insurance Median: $178 (740%)

Cash: $290 (1206% of Medicare)

Ins. Median: $178 (740% 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 740% of the Medicare baseline (a markup of 640%). 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 - $129	158%
Health Plan W/O Uhrip	$38 - $209	158%
Aetna	$55 - $329	229%
Superior Health	$129	536%
Wellpoint	$135	561%
Blue Cross Blue Shield	$139 - $348	578%
United Community	$143 - $170	595%
UnitedHealthcare	$170 - $329	707%
Beacon	$178 - $209	740%
El Paso Health First	$178 - $209	740%
Tx Children Health	$178 - $209	740%
Firstcare	$187 - $310	778%
S&W Health	$325	1351%
Cigna	$329	1368%
Healthscope	$329	1368%
Imagine Health	$329	1368%
Humana	$337 - $341	1401%
Multiplan	$337	1401%
First Health	$341	1418%
Galaxy Health	$348	1447%
Healthsmart	$348	1447%
Usamco	$356	1480%

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 $290.
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 Prosper 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.