CMS Price Transparency Data

Speech therapy (group session)

Facility: Marion Communtiy Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $40
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Marion Communtiy Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.66x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $209 (869%)
Insurance Median: $40 (166%)
Cash: $209 (869% of Medicare)
Ins. Median: $40 (166% 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
Humana $22 - $42 91%
Blue Cross Blue Shield $24 100%
Devoted Health $24 100%
Freedom Optimum $24 100%
Ndms Definitive Care $24 100%
United $24 - $94 100%
Va Purchased Care Program $24 100%
Veterans Evaluation Services $24 100%
Wellmed $24 100%
Align Senior Care $25 104%
American Health Plan $25 104%
Avmed $25 - $58 104%
Cigna $25 - $87 104%
Florida Complete Care $25 104%
Sunshine State $25 104%
Wellcare $25 104%
Aetna $26 - $63 108%
Centurion $26 108%
Clear Spring Health $26 108%
Gold Kidney Of Florida $26 108%
Secur $26 108%
Simply Healthcare $26 108%
Careplus $27 112%
Ultimate Health Plan $27 112%
Longevity Health Plan $28 116%
Corvel Corporation $40 - $219 166%
Molina Healthcare $40 - $67 166%
Prime Health $41 - $223 170%
Careworks (Rockport Community) $42 - $230 175%
Marion County Schools $42 - $230 175%
Evolutions $48 200%
Evolutions Healthcare $48 200%
Naphcare $50 - $57 208%
University Ma Federal Corrections $50 208%
Wellpath $50 - $57 208%
Sunshine State Health Plan $53 220%
Plotkin Health $104 432%
Prime Health Sheriff $104 432%
Multiplan $163 678%
Ppo Next $177 736%
Novanet $188 782%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals