CMS Price Transparency Data

Speech therapy (group session)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $30
Cash Discount Price: $145
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Cleveland Clinic Indian River Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.25x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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: $145 (603%)

Insurance Median: $30 (125%)

Cash: $145 (603% of Medicare)

Ins. Median: $30 (125% 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.

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
Aetna	$18 - $262	75%
Blue Cross Blue Shield	$20 - $328	83%
UnitedHealthcare	$22	91%
Amerihealth	$23	96%
Carelon Bh Strategies	$23 - $30	96%
Medicaid / KanCare	$23	96%
Molina	$23	96%
Sunshine Health	$23	96%
Wellcare	$23 - $30	96%
Avmed	$24 - $102	100%
Careplus	$24 - $30	100%
Magellan	$24 - $197	100%
United	$24 - $223	100%
Value Options	$24	100%
Freedom Health	$25 - $30	104%
Independent Living Systems	$25 - $32	104%
Wellmed	$25 - $30	104%
Clear Spring Health	$26 - $32	108%
Cigna	$28 - $236	116%
Humana	$30	125%
Devoted Health	$33	137%
Clarity Health	$77 - $213	320%
The Legacy Companies	$77 - $213	320%
National Provider Network	$83	345%
Three Rivers	$83	345%
Consociate Health	$89	370%
Bmi	$180	748%
Multiplan	$262	1089%

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 $145.
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 Cleveland Clinic Indian River 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.