CMS Price Transparency Data

Speech therapy (group session)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $121
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 5.03x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at University of Wi Hospitals & Clinics Authority is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.03x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $114 (474%)
Insurance Median: $121 (503%)
Cash: $114 (474% of Medicare)
Ins. Median: $121 (503% 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 503% of the Medicare baseline (a markup of 403%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicare (plans) $57 - $133 237%
Alliance_Premier_Network $91 378%
Mercycare $94 391%
Triology $97 - $116 403%
Security_Health_Plan $103 - $121 428%
Employer'S_Coalition_On_Health $104 - $146 432%
Alliance $107 445%
Hfn $108 - $146 449%
United_Healthcare $109 - $161 453%
Beloit_Health_System $110 457%
Aspirus_Health_Plan $111 462%
Cigna $114 474%
Health_Partners_Insurance $116 482%
Health_Payment_Systems $116 482%
UnitedHealthcare $119 495%
Dean_Health_Plan $122 507%
Medical_Associates $125 520%
Wps $132 - $145 549%
Employers_Healthcare_Coalition_Of_Wi $133 553%
Aetna $135 - $152 561%
Blue Cross Blue Shield $137 - $350 570%
Aspirus_Network_Inc $146 607%
Chorus_Community $152 632%
Ghc_Eau_Claire_Health_Plan $152 632%
Multiplan $152 - $175 632%
Sheybogan_Employers_Health_Network $152 632%
Coventry $162 674%
Dean_Care $162 674%
Healthsmart $167 694%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals