CMS Price Transparency Data

Speech therapy (group session)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $72
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.99x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Arthur G James Cancer Hospital and Research Institute is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.99x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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%)

Insurance Median: $72 (299%)

Ins. Median: $72 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Healthspan	$27 - $5,413	112%
Medigold	$27	112%
Upper Ohio Valley	$27 - $5,413	112%
Humana	$28 - $5,521	116%
Medicare (plans)	$28 - $5,467	116%
Medicaid / KanCare	$32 - $43	133%
Aetna	$33 - $5,388	137%
United	$35 - $114	146%
Caresource	$41 - $62	170%
Mmo	$41 - $106	170%
Molina	$41 - $5,388	170%
Odrc	$43 - $51	179%
Blue Cross Blue Shield	$46 - $118	191%
Buckeye Community	$46 - $61	191%
Amerihealth	$47 - $67	195%
Osu Health Plan	$57 - $83	237%
Lifetrac	$81 - $85	337%
Ohio Ppo	$82	341%
Ohiohealth	$90 - $91	374%
Cigna	$91 - $94	378%
Frontpath	$100	416%
Healthsmart	$112	466%
Multiplan	$116	482%
Ohio Dept Of Health	$4,289	17834%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.