CMS Price Transparency Data

Speech therapy (group session)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $148
Cash Discount Price: $165
vs. Medicare Baseline: 6.15x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 6.15x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $165 (686%)

Insurance Median: $148 (615%)

Cash: $165 (686% of Medicare)

Ins. Median: $148 (615% 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 615% of the Medicare baseline (a markup of 515%). 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
The Alliance	$88	366%
Security Health Plan (Shp)	$90 - $100	374%
Amish/Mennonite	$96	399%
Quartz	$99	412%
Wps Health Insurance	$117	486%
Cigna	$118 - $129	491%
Health Payment Systems	$121	503%
Humana	$137 - $155	570%
Group Health Cooperative Of Eau Claire	$143 - $165	595%
Network Health Plan	$145	603%
First Health	$148	615%
Molina Healthcare Of Wi	$148	615%
Trilogy	$157	653%
Healtheos By Multiplan Inc.	$162 - $165	674%
Health Partners	$165	686%
Coventry	$167	694%
UnitedHealthcare	$253	1052%
Blue Cross Blue Shield	$318 - $477	1322%

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 $165.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.