CMS Price Transparency Data

Speech therapy (group session)

Facility: PAM Rehabilitation Hospital of Clear Lake

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $106
Cash Discount Price: $148
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at PAM Rehabilitation Hospital of Clear Lake is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.41x the Medicare baseline. Located in 110 East Medical Center Boulevard, Webster, TX.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $148 (615%)

Insurance Median: $106 (441%)

Cash: $148 (615% of Medicare)

Ins. Median: $106 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Aetna	$15 - $16	62%
Wellpoint (Amerigroup)	$16	67%
Curative	$18	75%
Community Health Choice	$24	100%
Caresource	$25	104%
Christus Health Plan	$59	245%
Scan Health Plan	$59	245%
Cigna	$70 - $115	291%
Memorial Hermann Health Plan	$70	291%
Ninety Degree Benefits	$74	308%
Healthcare Highways	$81	337%
Select Care	$90	374%
Today'S Option	$90	374%
America'S Choice Provider Network	$103	428%
Provider Network Of America	$111	462%
Quik Trip	$111	462%
Usa Managed Care Organization	$111	462%
Velocity Provider Ppo Network	$111	462%
Multiplan/Phcs	$118	491%
Prime Health Services	$126	524%
Medincrease	$133	553%

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 $148.
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 PAM Rehabilitation Hospital of Clear Lake 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.