CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Florida Jfk Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $88
  • Cash Discount Price: $598
  • vs. Medicare Baseline: 3.66x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Florida Jfk Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $598. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.66x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$598

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $598 (2486%)
Insurance Median: $88 (366%)
Cash: $598 (2486% of Medicare)
Ins. Median: $88 (366% 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 366% of the Medicare baseline (a markup of 266%). 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
Humana $23 - $203 96%
Palm Beach Pace $23 96%
Careplus Sfl $24 100%
Devoted Health $24 100%
Ndms Definitive Care $24 100%
United $24 - $269 100%
United Behavioral Health $24 100%
Veterans Evaluation Services $24 100%
Wellmed $24 100%
Aetna $25 - $179 104%
Blue Cross Blue Shield $25 104%
Align $26 108%
American Health Plan $26 108%
Cigna $26 - $126 108%
Florida Complete Care $26 108%
Oscar $26 - $96 108%
Prominence Healthfirst $26 108%
Sunshine State $26 - $27 108%
Centurion $27 112%
Doctors Healthcare Plan $27 112%
Gold Kidney $27 112%
Amerihealth Caritas $29 - $102 121%
Longevity Health Plan $29 121%
Solis Health Plan $36 150%
Corvel Corporation $40 - $241 166%
Careworks (Rockport) $41 - $246 170%
Prime Health $41 - $246 170%
Freedom Health $51 - $96 212%
Optimum $51 212%
Avmed $78 - $299 324%
Simply Healthcare Plans $78 324%
Simply Healthcare $81 337%
Molina $102 - $161 424%
Health Sun Health Plan $127 528%
Aids Healthcare $132 - $718 549%
Mmm Of Fl (Health Advantage Plan) $138 574%
United Ppo $142 590%
Sunshine State Health Plan $155 644%
Blis $209 869%
District Cares $299 1243%
Plotkin Health $299 1243%
Prime Health Sherriff $299 1243%
Medica Healthcare $353 1468%
Multiplan $448 - $508 1863%
Evernorth Bh $478 1988%
Healthy Palm Beaches $550 2287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals