CMS Price Transparency Data

Speech therapy (group session)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Baptist Health Medical Center - Jacksonville is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.08x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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%)
Insurance Median: $26 (108%)
Ins. Median: $26 (108% 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.

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
Amerigroup Of Georgia $22 91%
Caresource Of Georgia $22 91%
Daniel Memorial $22 91%
Humana $22 - $24 91%
Peach State Health Plan $22 91%
Simply Healthcare Plans $23 - $26 96%
Simply Healthcare Plans - Cha $23 96%
Amerihealth Caritas $24 100%
Florida Community Care $24 - $32 100%
Sunshine State Health Plan $24 100%
United Community Plan $24 100%
Vivida Health $24 100%
Corvel $25 - $41 104%
Coventry Workers Comp $25 - $41 104%
Aetna $26 - $31 108%
Molina Healthcare Of Florida $26 108%
Community Hospice Of Northeast Florida $30 125%
Pace $30 125%
Tomorrow'S Rainbow $30 125%
UnitedHealthcare $30 125%
Va Ccn $30 125%
Devoted $32 133%
Upmc $33 137%
Non-Contracted $42 175%
Ambetter / Centene $72 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals