CMS Price Transparency Data
Speech therapy (group session)
Facility: Trinity Health Oakland Hospital
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $79
- Cash Discount Price: $75
- vs. Medicare Baseline: 3.28x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Trinity Health Oakland Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.28x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$75
Average discount available for prompt cash payment at this facility.
Insurance Median
$79
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: $75 (312%)
Insurance Median: $79 (328%)
Cash: $75 (312% of Medicare)
Ins. Median: $79 (328% 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 328% of the Medicare baseline (a markup of 228%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $19 - $20 | 79% |
| Blue Cross Blue Shield | $20 - $41 | 83% |
| Aetna | $23 - $73 | 96% |
| Blue Care Network Advantage | $23 | 96% |
| Medicare (plans) | $23 - $24 | 96% |
| Align Senior Care | $24 | 100% |
| Hospice Advantage | $24 | 100% |
| Cca - Zing Health | $25 | 104% |
| UnitedHealthcare | $25 - $87 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $27 | 112% |
| Molina Marketplace | $31 | 129% |
| Wc Accident Fund | $35 | 146% |
| Wc Advantage | $35 | 146% |
| Wc Aig | $35 | 146% |
| Wc Allied | $35 | 146% |
| Wc Amerisure | $35 | 146% |
| Wc Amtrust | $35 | 146% |
| Wc Asu Risk Mgt | $35 | 146% |
| Wc Berkley Admin | $35 | 146% |
| Wc Broadspire | $35 | 146% |
| Wc Bunch & Associates | $35 | 146% |
| Wc Ccmsi | $35 | 146% |
| Wc Emc Insurance Company | $35 | 146% |
| Wc Esis | $35 | 146% |
| Wc Fcci | $35 | 146% |
| Wc Federated | $35 | 146% |
| Wc Gallagher Bassett | $35 | 146% |
| Wc Genex Care For Ohio | $35 | 146% |
| Wc Guard Insurance Company | $35 | 146% |
| Wc Hartford | $35 | 146% |
| Wc Liberty Mutual | $35 | 146% |
| Wc Meijers | $35 | 146% |
| Wc Michigan | $35 | 146% |
| Wc Mitchell Frankenmuth | $35 | 146% |
| Wc Pma | $35 | 146% |
| Wc Sedgwick | $35 | 146% |
| Wc Sentry | $35 | 146% |
| Wc Travelers | $35 | 146% |
| Wc Tristar | $35 | 146% |
| Wc Walmart | $35 | 146% |
| Wc Zurich | $35 | 146% |
| Health Cost Solutions | $37 | 154% |
| Vitalcore | $37 | 154% |
| Wellpath | $37 | 154% |
| Priority Health | $38 - $42 | 158% |
| Bcn Domestic | $41 | 170% |
| Blue Benefit Administrators Of Massachusetts | $41 | 170% |
| Blue Care Network | $41 | 170% |
| Blue Distinction Transplant | $41 | 170% |
| Blue Shield - Ca | $41 | 170% |
| Blue Shield - Id (Regence) | $41 | 170% |
| Blue Shield - Ny Highmark Northeastern | $41 | 170% |
| Blue Shield - Ny Highmark Western | $41 | 170% |
| Blue Shield - Pa (Highmark) | $41 | 170% |
| Blue Shield - Wa (Regence) | $41 | 170% |
| Health Choices | $41 - $85 | 170% |
| Kaiser Domestic | $41 | 170% |
| Acs Benefit Services | $51 | 212% |
| Allied Benefit Systems | $51 | 212% |
| Claimchoice Adminstrators | $51 | 212% |
| Consociate | $51 | 212% |
| Cypress Benefit Administrators | $51 | 212% |
| Forest County Potawatomi | $51 | 212% |
| Health Smart | $51 | 212% |
| Healthgram | $51 | 212% |
| Healthscope | $51 | 212% |
| Secureone Preferred United Plans | $51 | 212% |
| Sisco Benefits | $51 | 212% |
| The Health Plan | $51 | 212% |
| Trustmark Small Business Benefits | $51 | 212% |
| U Of M Health Plan | $51 | 212% |
| Unified Group Services | $51 | 212% |
| Webtpa | $51 | 212% |
| Asr Health Benefits | $54 | 225% |
| Caresource | $54 | 225% |
| Employee Benefit Logistic | $54 | 225% |
| Hap | $54 - $84 | 225% |
| Varipro | $54 | 225% |
| Mclaren Health | $56 - $61 | 233% |
| Carelon Behavioral Health | $58 | 241% |
| Magellan Behavioral Health | $70 | 291% |
| Geha | $73 - $87 | 304% |
| Medical Mutual | $73 | 304% |
| Meritain | $73 | 304% |
| 1199 National Benefit Fund | $79 | 328% |
| Allied National Global Care | $79 | 328% |
| Asrm - Reliance Standard Life Insurance | $79 | 328% |
| Christian Care Ministry | $79 | 328% |
| Dean Health | $79 | 328% |
| Fallon Health | $79 | 328% |
| Family Life Insurance Company | $79 | 328% |
| Ghc Scw | $79 | 328% |
| Group Pension Administrators | $79 | 328% |
| International Benefit Administrators | $79 | 328% |
| Lifetime Benefit Solutions | $79 | 328% |
| Manhattan Life | $79 | 328% |
| Medi Share | $79 | 328% |
| Multiplan | $79 | 328% |
| Mvp | $79 | 328% |
| Pai | $79 | 328% |
| Pan-American Life | $79 | 328% |
| Paramount Hmo | $79 | 328% |
| Phcs | $79 | 328% |
| Trinity Health Share | $79 | 328% |
| Health Partners | $84 | 349% |
| Tufts Health Plan | $84 | 349% |
| Access Health | $85 | 353% |
| Acclaim | $85 | 353% |
| Administrative Concepts | $85 | 353% |
| Allegeant | $85 | 353% |
| Ameriben | $85 | 353% |
| American Family | $85 | 353% |
| American Healthcare Alliance | $85 | 353% |
| American National | $85 | 353% |
| American Republic | $85 | 353% |
| Amerihealth | $85 | 353% |
| Aultcare | $85 | 353% |
| Automated Benefit Services | $85 | 353% |
| Auxiant | $85 | 353% |
| Benefit Administrative Systems,Llc | $85 | 353% |
| Boon Chapman | $85 | 353% |
| Cam Administrative Services | $85 | 353% |
| Christian Brother Services | $85 | 353% |
| Christian Brothers Holy Cross | $85 | 353% |
| Comprehensive Benefits | $85 | 353% |
| Continental Life Insurance | $85 | 353% |
| Custom Benefit Administrators | $85 | 353% |
| Employee Benefit Concepts | $85 | 353% |
| Employee Benefit Management | $85 | 353% |
| Enterprise Group Planning | $85 | 353% |
| Freedom Life Insurance Company | $85 | 353% |
| Group Administrators | $85 | 353% |
| Group Marketing Services | $85 | 353% |
| Guardian | $85 | 353% |
| Health America | $85 | 353% |
| Healthcare Management Admin | $85 | 353% |
| Healthez | $85 | 353% |
| Humana | $85 | 353% |
| Insight | $85 | 353% |
| Intercare | $85 | 353% |
| Jfp Benefit Management | $85 | 353% |
| Jp Farley Corporation | $85 | 353% |
| Key Benefit Administrator | $85 | 353% |
| Liberty Union Life Assurance Co | $85 | 353% |
| Lucent Health | $85 | 353% |
| Luminare Health | $85 | 353% |
| Luminare Health (Detroit) | $85 | 353% |
| Magnacare | $85 | 353% |
| Medben | $85 | 353% |
| Medcost | $85 | 353% |
| Mutual Health Services | $85 | 353% |
| Mutual Of Omaha | $85 | 353% |
| Ncas | $85 | 353% |
| Nippon Life Ins | $85 | 353% |
| Nova | $85 | 353% |
| Painters Union Insurance Fund | $85 | 353% |
| Physicians Mutual | $85 | 353% |
| Plumbers Local 98 Insurance Fund | $85 | 353% |
| Prairie States | $85 | 353% |
| Preferred One | $85 | 353% |
| Primary Physician Care | $85 | 353% |
| Professional Benefit Administrators | $85 | 353% |
| Siho Insurance Services | $85 | 353% |
| The Loomis Company | $85 | 353% |
| Unicare | $85 | 353% |
| Us Health And Life | $85 | 353% |
| Valenz | $85 | 353% |
| Western & Southern Financial Group | $85 | 353% |
| Wps | $85 | 353% |
| Cigna | $86 | 358% |
| Coventry | $87 | 362% |
| First Health | $87 | 362% |
| Prime Health Services | $93 | 387% |
| Three Rivers Provider Network | $104 | 432% |
| Cmh Detroit Wayne Integrated Health Network | $116 | 482% |
| Cmh Lenawee County | $116 | 482% |
| Cmh Livingston County | $116 | 482% |
| Cmh Misc | $116 | 482% |
| Cmh Monroe County | $116 | 482% |
| Cmh Oakland County | $116 | 482% |
| Cmh Washtenaw County | $116 | 482% |