CMS Price Transparency Data

Speech therapy (group session)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $107
  • Cash Discount Price: $613
  • vs. Medicare Baseline: 4.45x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at HCA Florida Fort Walton-Destin Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $613. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 4.45x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$613

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $613 (2549%)
Insurance Median: $107 (445%)
Cash: $613 (2549% of Medicare)
Ins. Median: $107 (445% 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 445% of the Medicare baseline (a markup of 345%). 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 $22 - $233 91%
Triwest Healthcare Alliance $23 96%
Aetna $24 - $184 100%
Blue Cross Blue Shield $24 100%
Ndms Definitive Care $24 100%
United $24 - $276 100%
United Behavioral Health $24 100%
Veterans Evaluation Services $24 100%
Wellmed $24 100%
Align Senior Care $25 104%
American Health Plan $25 104%
Florida Complete Care $25 104%
Healthspring Of Florida $25 104%
Sunshine State $25 104%
Wellcare $25 104%
Centurion $26 108%
Clear Spring Health $26 108%
Gold Kidney Of Florida $26 108%
Ultimate Health Plan $27 112%
Longevity Health Plan $28 116%
Corvel Corporation $40 - $232 166%
Prime Health $41 - $237 170%
Careworks (Rockport Community) $42 - $244 175%
Oscar $80 333%
Simply Healthcare $102 424%
Cigna $107 - $254 445%
Molina Healthcare $116 - $196 482%
Avmed $147 - $306 611%
Sunshine State Health Plan $156 649%
Plotkin Health $306 1272%
Prime Health Sheriff $306 1272%
Evolutions Healthcare $398 - $551 1655%
Naphcare $398 1655%
Multiplan $478 - $521 1988%
Evernorth $490 2037%
Ppo Next $521 2166%
Novanet $551 2291%
Beacon Health Options $613 2549%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals