CMS Price Transparency Data

Speech therapy (group session)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $42
  • Cash Discount Price: $257
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Central Florida Lake Monroe Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.75x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$257

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $257 (1069%)
Insurance Median: $42 (175%)
Cash: $257 (1069% of Medicare)
Ins. Median: $42 (175% 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
Freedom Health $19 79%
Optimum $19 79%
Humana $22 - $95 91%
Aetna $24 - $77 100%
Blue Cross Blue Shield $24 100%
Devoted Health $24 100%
Fl Health Care Plan $24 100%
Ndms Definitive Care $24 100%
United $24 - $116 100%
Wellmed $24 100%
Align Senior Care $25 104%
American Health Plan $25 104%
Avmed $25 - $129 104%
Cigna $25 - $45 104%
Florida Complete Care $25 104%
Sunshine State $25 104%
Wellcare $25 104%
Centurion $26 108%
Clear Spring Health $26 108%
Gold Kidney Of Florida $26 108%
Seminole County Sheriffs Office $26 108%
Careplus $27 112%
Ultimate Health Plan $27 112%
Longevity Health Plan $28 116%
Solis Health Plan $34 141%
Corvel Corporation $40 - $230 166%
Oscar $41 170%
Prime Health $41 - $235 170%
Careworks (Rockport Community) $42 - $242 175%
Simply Healthcare $43 179%
Molina Healthcare $49 - $82 204%
Evolutions $59 245%
Sunshine State Health Plan $66 274%
Florida Health Care Plan $97 403%
Plotkin Health $129 536%
Prime Health Sheriff $129 536%
Multiplan $193 - $219 802%
Three Rivers Provider Network $193 802%
Ppo Next $219 911%
Novanet $232 965%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals