CMS Price Transparency Data

Speech therapy (group session)

Facility: Elkhart General Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $51
Cash Discount Price: $50
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Elkhart General Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.12x the Medicare baseline. Located in 600 E Blvd, Elkhart, IN.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $50 (208%)

Insurance Median: $51 (212%)

Cash: $50 (208% of Medicare)

Ins. Median: $51 (212% 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 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Mclaren (Mi	$12	50%
UnitedHealthcare	$12 - $52	50%
Devoted Healthcare	$15 - $24	62%
Blue Cross Blue Shield	$16 - $43	67%
Aetna	$22 - $52	91%
Humana	$22 - $54	91%
Pace	$22	91%
Plain Church	$34 - $62	141%
Caresource	$36 - $100	150%
Mhs	$40 - $100	166%
Cha	$46 - $60	191%
Immergrun	$46 - $62	191%
Php	$50 - $54	208%
Cigna	$55 - $59	229%
Multiplan	$55	229%
Signature	$56	233%
Encore	$57	237%
Heartland	$77	320%
Mdwise	$100	416%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92508.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Elkhart General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92508.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.