CMS Price Transparency Data

Speech therapy (group session)

Facility: Warner Hospital and Health Services

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $214
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 8.90x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Warner Hospital and Health Services is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 8.90x the Medicare baseline. Located in 422 W White St, Clinton, IL.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $274 (1139%)
Insurance Median: $214 (890%)
Cash: $274 (1139% of Medicare)
Ins. Median: $214 (890% 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 890% of the Medicare baseline (a markup of 790%). 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
Blue Cross Blue Shield $109 - $269 453%
Aetna $112 - $233 466%
Health Alliance Med Adv $112 466%
Humana $112 - $233 466%
Molina Mcr/Mcd Dual $112 466%
UnitedHealthcare $112 - $233 466%
Wellcare Mcr Adv-All Plans $112 466%
Harmony Hp Mcaid-All Plans $137 570%
Medicaid / KanCare $137 570%
Meridian Hp-All Plans $137 570%
Molina-All Other Plans $137 570%
Healthlink Hmo $214 890%
City Of Clinton (Employees Serv)-All Plans $219 911%
Cigna $228 948%
Caterpillar-All Plans $233 969%
Multiplan Phcs-All Plans $233 969%
Health Alliance-All Other Plans $241 1002%
Healthlink Ppo/Work Comp-All Other Plans $241 1002%
Consociate Care Ppo-All Plans $247 1027%
Hfn Ppo/Epo-All Plans $247 1027%
Three Rivers-All Plans $261 1085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 422 W White St, Clinton, IL 61727
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals