CMS Price Transparency Data

Speech therapy (group session)

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $137
Cash Discount Price: $225
vs. Medicare Baseline: 5.70x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Baylor Scott & White Hospital Brenham is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.70x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $225 (936%)

Insurance Median: $137 (570%)

Cash: $225 (936% of Medicare)

Ins. Median: $137 (570% 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 570% of the Medicare baseline (a markup of 470%). 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
Baylor Scott & White Health Plan	$46 - $161	191%
Triwest	$49	204%
American Health Plan	$51	212%
Blue Cross Blue Shield	$51 - $84	212%
Corvel	$51	212%
Healthspring	$51	212%
Prime Health Services	$51	212%
Procare Advantage	$51	212%
Superior Health Plan	$51	212%
Careworks Fka Rockport	$61	254%
Injury Management Organization	$61	254%
Sedgwick	$61	254%
UnitedHealthcare	$88	366%
Aetna	$105	437%
Cigna	$170 - $200	707%
Midcoast	$206	857%
Quiktrip	$206	857%
University Of Mary Hardin-Baylor	$218	906%
Independent Medical System	$225	936%
Imagine Health	$235	977%
Curative	$244	1015%
First Health	$263	1094%
Healthsmart	$263 - $281	1094%
Humana	$263 - $300	1094%
Private Health Care System	$281	1168%
Bluebell Creameries	$338	1405%

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 $225.
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 Baylor Scott & White Hospital Brenham 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.