CMS Price Transparency Data

Speech therapy (group session)

Facility: Lodi Community Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $141
Cash Discount Price: $170
vs. Medicare Baseline: 5.86x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Lodi Community Hospital is $141. 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 5.86x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $141 (586%)

Cash: $170 (707% of Medicare)

Ins. Median: $141 (586% 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 586% of the Medicare baseline (a markup of 486%). 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
Blue Cross Blue Shield	$30 - $214	125%
UnitedHealthcare	$30 - $162	125%
Humana	$79	328%
Mmo	$79 - $140	328%
Oscar	$79 - $101	328%
Summacare	$79 - $161	328%
United	$79 - $187	328%
Aetna	$89 - $262	370%
Buckeye	$105	437%
Caresource	$105	437%
The Health Plan	$105 - $210	437%
Molina	$110	457%
Amerihealth	$115	478%
Amish Community Aid Plan	$118 - $131	491%
Ohcp	$127	528%
Aultcare	$131	545%
Omas	$131	545%
Ohio Healthy	$141	586%
Php	$157	653%
Phphi	$157	653%
Upmc	$157	653%
Cigna	$169	703%
Cc Ehp	$176	732%
Gms	$183	761%
Medical Benefit Corp	$183	761%
Consociate Health	$196	815%
Frontpath	$236	981%
Managed Care Services	$236	981%
Multiplan	$236	981%
Tertiary Care Network	$236	981%

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 $170.
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 Lodi Community 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.