CMS Price Transparency Data

Speech therapy (group session)

Facility: Union Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $61
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Union Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.54x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $170 (707%)
Insurance Median: $61 (254%)
Cash: $170 (707% of Medicare)
Ins. Median: $61 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Summacare $15 - $122 62%
Buckeye $21 - $74 87%
Molina $21 - $78 87%
Aetna $22 - $262 91%
Blue Cross Blue Shield $22 - $140 91%
Caresource $22 - $74 91%
Cigna $22 - $118 91%
Humana $22 - $30 91%
The Health Plan $22 - $225 91%
United $22 - $129 91%
Valor $22 - $30 91%
Amerihealth $23 - $82 96%
Mmo $23 - $170 96%
Aultcare $24 - $118 100%
Communicare $24 - $32 100%
Perennial Health $24 - $32 100%
Pphp $24 - $25 100%
Cc Ehp $25 - $195 104%
Zing Health $25 - $79 104%
Devoted Health $30 125%
UnitedHealthcare $30 125%
Upmc $30 - $157 125%
Oscar $32 - $101 133%
Ohcp $46 - $127 191%
Omas $60 - $131 249%
Healthsmart $65 - $144 270%
Phphi $71 - $157 295%
Gms $83 - $183 345%
Consociate Health $89 - $196 370%
Multiplan $107 - $236 445%
Amish Community Aid Plan $118 - $131 491%
Ohio Healthy $141 586%
Php $157 653%
Medical Benefit Corp $183 761%
Frontpath $236 981%
Managed Care Services $236 981%
Tertiary Care Network $236 981%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals