CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Florida Aventura Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $117
  • Cash Discount Price: $883
  • vs. Medicare Baseline: 4.86x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Florida Aventura Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.86x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$883

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $883 (3672%)
Insurance Median: $117 (486%)
Cash: $883 (3672% of Medicare)
Ins. Median: $117 (486% 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 486% of the Medicare baseline (a markup of 386%). 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 $24 - $300 100%
Careplus Sfl $25 104%
Cigna $25 - $185 104%
Devoted Health $25 104%
Leon Health $25 104%
Ndms Definitive Care $25 104%
United $25 - $397 104%
United Behavioral Health $25 104%
Veterans Evaluation Services $25 104%
Wellmed $25 104%
Aetna $26 - $265 108%
Blue Cross Blue Shield $26 108%
Oscar $26 - $141 108%
Prominence Healthfirst $26 108%
Sunshine State $26 - $28 108%
Align $27 112%
American Health Plan $27 112%
Avmed $27 - $442 112%
Florida Complete Care $27 112%
Centurion $28 116%
Doctors Healthcare Plan $28 116%
Gold Kidney $28 116%
Amerihealth Caritas $30 - $150 125%
Longevity Health Plan $30 125%
Solis Health Plan $36 150%
Corvel Corporation $40 - $250 166%
Careworks (Rockport) $41 - $255 170%
Prime Health $41 - $255 170%
Freedom Health $76 - $141 316%
Optimum $76 316%
Simply Healthcare Plans $115 478%
Simply Healthcare $119 495%
Molina $150 - $238 624%
Health Sun Health Plan $188 782%
Aids Healthcare $194 - $1,060 807%
Mmm Of Fl (Health Advantage Plan) $203 844%
United Ppo $209 869%
Sunshine State Health Plan $230 956%
Plotkin Health $442 1838%
Prime Health Sherriff $442 1838%
Medica Healthcare $512 2129%
Multiplan $662 - $751 2753%
Evernorth Bh $706 2936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals