CMS Price Transparency Data

Speech therapy (group session)

Facility: Marshfield Medical Center - Weston

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $102
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 4.24x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Marshfield Medical Center - Weston is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.24x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $102 (424%)
Insurance Median: $102 (424%)
Cash: $102 (424% of Medicare)
Ins. Median: $102 (424% 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 424% of the Medicare baseline (a markup of 324%). 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
Family Health Center (Fhc) $54 225%
Amish/Mennonite $59 245%
Sanford Health Plan $59 245%
The Alliance $82 - $186 341%
Group Health Cooperative Of Eau Claire $88 - $96 366%
UnitedHealthcare $88 366%
Besse Forest Products $91 378%
Molina Healthcare Of Wi $91 378%
Rice Lake School District $91 378%
Wps Health Insurance $95 - $103 395%
Medica Of Wi $100 - $102 416%
Cigna $101 420%
Healtheos By Multiplan Inc. $101 - $102 420%
Corvel $102 424%
First Health $102 424%
Health Partners $102 424%
Three Rivers Provider Network (Trpn) $102 424%
Trilogy $102 - $103 424%
Coventry $103 428%
Health Smart $103 428%
Rising Medical Work Comp $104 432%
Security Health Plan (Shp) $127 - $173 528%
Blue Cross Blue Shield $226 - $264 940%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals