CMS Price Transparency Data

Speech therapy (group session)

Facility: Astria Sunnyside Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $133
Cash Discount Price: $144
vs. Medicare Baseline: 5.53x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Astria Sunnyside Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.53x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $144 (599%)

Insurance Median: $133 (553%)

Cash: $144 (599% of Medicare)

Ins. Median: $133 (553% 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 553% of the Medicare baseline (a markup of 453%). 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
Medicare (plans)	$29 - $65	121%
Aetna	$61 - $227	254%
Healthcomp_Ihs	$61 - $63	254%
Humana	$61 - $232	254%
Medicaid / KanCare	$61 - $79	254%
Molina	$61 - $63	254%
Tricare	$61 - $64	254%
Va	$61 - $63	254%
Regence	$127 - $133	528%
Cigna	$149 - $155	620%
Li	$152 - $158	632%
First_Choice	$186 - $194	773%
Tpsc	$193 - $201	802%
Kaiser	$195 - $203	811%
Premera	$202 - $210	840%
UnitedHealthcare	$211 - $219	877%
Fhpw	$218 - $227	906%
Healthcomp	$223 - $232	927%
Bcchp	$248 - $258	1031%
Great_Rivers	$248 - $258	1031%
Zenith	$248 - $258	1031%

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 $144.
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 Astria Sunnyside 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.