CMS Price Transparency Data
Speech therapy (group session)
Facility: Chelsea Hospital
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $77
- Cash Discount Price: $75
- vs. Medicare Baseline: 3.20x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Chelsea Hospital is $77. 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 3.20x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$75
Average discount available for prompt cash payment at this facility.
Insurance Median
$77
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: $77 (320%)
Cash: $75 (312% of Medicare)
Ins. Median: $77 (320% 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 320% of the Medicare baseline (a markup of 220%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $20 - $43 | 83% |
| Medicaid / KanCare | $20 | 83% |
| Aetna | $23 - $64 | 96% |
| Blue Care Network Advantage | $23 | 96% |
| Medicare (plans) | $23 - $24 | 96% |
| Align Senior Care | $24 | 100% |
| Angela Hospice | $24 | 100% |
| Arbor Hospice | $24 | 100% |
| Heartland Hospice | $24 | 100% |
| Cca - Zing Health | $25 | 104% |
| UnitedHealthcare | $25 - $78 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $27 | 112% |
| Molina Marketplace | $31 | 129% |
| Wc Accident Fund | $31 | 129% |
| Wc Advantage | $31 | 129% |
| Wc Aig | $31 | 129% |
| Wc Allied | $31 | 129% |
| Wc Amerisure | $31 | 129% |
| Wc Amtrust | $31 | 129% |
| Wc Asu Risk Mgt | $31 | 129% |
| Wc Berkley Admin | $31 | 129% |
| Wc Broadspire | $31 | 129% |
| Wc Bunch & Associates | $31 | 129% |
| Wc Ccmsi | $31 | 129% |
| Wc Emc Insurance Company | $31 | 129% |
| Wc Esis | $31 | 129% |
| Wc Fcci | $31 | 129% |
| Wc Federated | $31 | 129% |
| Wc Gallagher Bassett | $31 | 129% |
| Wc Genex Care For Ohio | $31 | 129% |
| Wc Guard Insurance Company | $31 | 129% |
| Wc Hartford | $31 | 129% |
| Wc Liberty Mutual | $31 | 129% |
| Wc Meijers | $31 | 129% |
| Wc Michigan | $31 | 129% |
| Wc Mitchell Frankenmuth | $31 | 129% |
| Wc Pma | $31 | 129% |
| Wc Sedgwick | $31 | 129% |
| Wc Sentry | $31 | 129% |
| Wc Travelers | $31 | 129% |
| Wc Tristar | $31 | 129% |
| Wc Walmart | $31 | 129% |
| Wc Zurich | $31 | 129% |
| Health Cost Solutions | $37 | 154% |
| Vitalcore | $37 | 154% |
| Wellpath | $37 | 154% |
| Priority Health | $42 - $47 | 175% |
| Bcn Domestic | $43 | 179% |
| Blue Benefit Administrators Of Massachusetts | $43 | 179% |
| Blue Care Network | $43 | 179% |
| Blue Distinction Transplant | $43 | 179% |
| Blue Shield - Ca | $43 | 179% |
| Blue Shield - Id (Regence) | $43 | 179% |
| Blue Shield - Ny Highmark Northeastern | $43 | 179% |
| Blue Shield - Ny Highmark Western | $43 | 179% |
| Blue Shield - Pa (Highmark) | $43 | 179% |
| Blue Shield - Wa (Regence) | $43 | 179% |
| Health Choices | $43 - $77 | 179% |
| Kaiser Domestic | $43 | 179% |
| U Of M Health Plan | $51 | 212% |
| Employee Benefit Logistic | $54 | 225% |
| Asr Health Benefits | $59 | 245% |
| Caresource | $59 | 245% |
| Hap | $59 - $90 | 245% |
| Varipro | $59 | 245% |
| Geha | $64 - $78 | 266% |
| Meritain | $64 | 266% |
| Access Health | $77 | 320% |
| Acclaim | $77 | 320% |
| Administrative Concepts | $77 | 320% |
| Allegeant | $77 | 320% |
| Ameriben | $77 | 320% |
| American Family | $77 | 320% |
| American Healthcare Alliance | $77 | 320% |
| American National | $77 | 320% |
| American Republic | $77 | 320% |
| Amerihealth | $77 | 320% |
| Aultcare | $77 | 320% |
| Automated Benefit Services | $77 | 320% |
| Auxiant | $77 | 320% |
| Benefit Administrative Systems,Llc | $77 | 320% |
| Boon Chapman | $77 | 320% |
| Cam Administrative Services | $77 | 320% |
| Christian Brother Services | $77 | 320% |
| Christian Brothers Holy Cross | $77 | 320% |
| Comprehensive Benefits | $77 | 320% |
| Continental Life Insurance | $77 | 320% |
| Custom Benefit Administrators | $77 | 320% |
| Employee Benefit Concepts | $77 | 320% |
| Employee Benefit Management | $77 | 320% |
| Enterprise Group Planning | $77 | 320% |
| Freedom Life Insurance Company | $77 | 320% |
| Group Administrators | $77 | 320% |
| Group Marketing Services | $77 | 320% |
| Guardian | $77 | 320% |
| Health America | $77 | 320% |
| Healthcare Management Admin | $77 | 320% |
| Healthez | $77 | 320% |
| Humana | $77 | 320% |
| Insight | $77 | 320% |
| Intercare | $77 | 320% |
| Jfp Benefit Management | $77 | 320% |
| Jp Farley Corporation | $77 | 320% |
| Key Benefit Administrator | $77 | 320% |
| Liberty Union Life Assurance Co | $77 | 320% |
| Lucent Health | $77 | 320% |
| Luminare Health | $77 | 320% |
| Luminare Health (Detroit) | $77 | 320% |
| Magnacare | $77 | 320% |
| Medben | $77 | 320% |
| Medcost | $77 | 320% |
| Medical Mutual | $77 | 320% |
| Mutual Health Services | $77 | 320% |
| Mutual Of Omaha | $77 | 320% |
| Ncas | $77 | 320% |
| Nippon Life Ins | $77 | 320% |
| Nova | $77 | 320% |
| Painters Union Insurance Fund | $77 | 320% |
| Physicians Mutual | $77 | 320% |
| Plumbers Local 98 Insurance Fund | $77 | 320% |
| Prairie States | $77 | 320% |
| Preferred One | $77 | 320% |
| Primary Physician Care | $77 | 320% |
| Professional Benefit Administrators | $77 | 320% |
| Siho Insurance Services | $77 | 320% |
| Sisco Benefits | $77 | 320% |
| The Loomis Company | $77 | 320% |
| Unicare | $77 | 320% |
| Us Health And Life | $77 | 320% |
| Valenz | $77 | 320% |
| Western & Southern Financial Group | $77 | 320% |
| Wps | $77 | 320% |
| Coventry | $79 | 328% |
| First Health | $79 | 328% |
| Hospice Of Michigan | $81 | 337% |
| Cigna | $82 | 341% |
| 1199 National Benefit Fund | $87 | 362% |
| Allied National Global Care | $87 | 362% |
| Asrm - Reliance Standard Life Insurance | $87 | 362% |
| Christian Care Ministry | $87 | 362% |
| Dean Health | $87 | 362% |
| Fallon Health | $87 | 362% |
| Family Life Insurance Company | $87 | 362% |
| Ghc Scw | $87 | 362% |
| Group Pension Administrators | $87 | 362% |
| International Benefit Administrators | $87 | 362% |
| Lifetime Benefit Solutions | $87 | 362% |
| Manhattan Life | $87 | 362% |
| Medi Share | $87 | 362% |
| Multiplan | $87 | 362% |
| Mvp | $87 | 362% |
| Pai | $87 | 362% |
| Pan-American Life | $87 | 362% |
| Paramount Hmo | $87 | 362% |
| Phcs | $87 | 362% |
| Trinity Health Share | $87 | 362% |
| Health Partners | $90 | 374% |
| Tufts Health Plan | $90 | 374% |
| Prime Health Services | $93 | 387% |
| Three Rivers Provider Network | $104 | 432% |
| Cmh Detroit Wayne Integrated Health Network | $116 | 482% |
| Cmh Jackson County/Lifeways | $116 | 482% |
| Cmh Lenawee County | $116 | 482% |
| Cmh Livingston County | $116 | 482% |
| Cmh Misc | $116 | 482% |
| Cmh Monroe County | $116 | 482% |
| Cmh Washtenaw County | $116 | 482% |
| Magellan Behavioral Health | $116 | 482% |