CMS Price Transparency Data

Speech therapy (group session)

Facility: John Randolph Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $25
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at John Randolph Medical Center is $25. 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 1.04x the Medicare baseline. Located in 411 West Randolph Road, Hopewell, VA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $25 (104%)
Ins. Median: $25 (104% 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
Triatlantic $20 83%
Health Net $22 91%
Humana $23 - $24 96%
Johns Hopkins $23 96%
Devoted $24 100%
Sentara Health $24 100%
United $24 - $25 100%
United Behavioral Health $24 100%
Aetna $25 104%
Blue Cross Blue Shield $25 104%
Cigna $25 104%
Davita Village Health $25 104%
Evernorth Behavioral Health $25 104%
Virginia Premier Health $25 104%
Align Senior Care $26 108%
Clear Spring Health Plan $26 108%
Pyramid Life $26 108%
Naphcare $33 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 West Randolph Road, Hopewell, VA 23860
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals