CMS Price Transparency Data

Speech therapy (group session)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $86
Cash Discount Price: $86
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Marshfield Medical Center - Eau Claire is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.58x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $86 (358%)

Insurance Median: $86 (358%)

Cash: $86 (358% of Medicare)

Ins. Median: $86 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
Family Health Center (Fhc)	$45	187%
Amish/Mennonite	$50	208%
Sanford Health Plan	$50	208%
The Alliance	$69 - $186	287%
Group Health Cooperative Of Eau Claire	$74 - $81	308%
UnitedHealthcare	$74	308%
Besse Forest Products	$76	316%
Molina Healthcare Of Wi	$76	316%
Rice Lake School District	$76	316%
Wps Health Insurance	$80 - $87	333%
Medica Of Wi	$84 - $86	349%
Cigna	$86	358%
Corvel	$86	358%
Coventry	$86	358%
First Health	$86	358%
Health Partners	$86	358%
Health Smart	$86	358%
Healtheos By Multiplan Inc.	$86	358%
Three Rivers Provider Network (Trpn)	$86	358%
Trilogy	$86	358%
Rising Medical Work Comp	$87	362%
Security Health Plan (Shp)	$127 - $173	528%
Blue Cross Blue Shield	$226 - $264	940%

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 $86.
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 - Eau Claire 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.