CMS Price Transparency Data

Speech therapy (group session)

Facility: Prosser Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $154
Cash Discount Price: $106
vs. Medicare Baseline: 6.40x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Prosser Memorial Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 6.40x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $106 (441%)

Insurance Median: $154 (640%)

Cash: $106 (441% of Medicare)

Ins. Median: $154 (640% 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 640% of the Medicare baseline (a markup of 540%). 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
Kaiser Permanente	$38 - $175	158%
Community Health Plan Of Washington	$41 - $78	170%
Coordinated Care	$41 - $78	170%
UnitedHealthcare	$41 - $135	170%
Amerigroup	$43 - $82	179%
Molina	$43 - $78	179%
Health Alliance Northwest	$48	200%
Humana	$48 - $163	200%
Wellcare	$48	200%
Aetna	$58 - $163	241%
Ambetter / Centene	$134 - $148	557%
Asuris	$154 - $173	640%
Health Management Adminstrators	$154 - $173	640%
Premera	$154	640%
Regence	$154 - $173	640%
Cigna	$157	653%
First Choice	$163	678%
Multiplan	$163 - $173	678%

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 $106.
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 Prosser Memorial Hospital 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.