CMS Price Transparency Data

Speech therapy (group session)

Facility: Bellin Health Oconto Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $57
Cash Discount Price: $49
vs. Medicare Baseline: 2.37x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Bellin Health Oconto Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.37x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $49 (204%)

Insurance Median: $57 (237%)

Cash: $49 (204% of Medicare)

Ins. Median: $57 (237% 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 237% of the Medicare baseline (a markup of 137%). 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
Blue Cross Blue Shield	$26 - $220	108%
Community Care	$26	108%
Humana	$26	108%
My Choice	$26	108%
Network Health	$26 - $64	108%
UnitedHealthcare	$31 - $52	129%
Aetna	$38	158%
Cigna	$53 - $54	220%
Common Ground	$55 - $56	229%
Chorus Community Health Plan	$56	233%
Aspirus Arise	$59	245%
Healthsmart	$60	249%
Ihs(Claimsbridge)	$60	249%
Medical College Of Wi	$60	249%
Hps/Paymedix	$62 - $67	258%
Wps Insurance	$63	262%
Allied National	$64	266%
First Health	$64	266%
Galaxy Health	$64	266%
Three Rivers Provider Network	$68	283%
Trilogy	$68	283%

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 $49.
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 Bellin Health Oconto 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.