CMS Price Transparency Data

Speech therapy (group session)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $96
Cash Discount Price: $111
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at University Hospitals Conneaut Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 3.99x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $111 (462%)

Insurance Median: $96 (399%)

Cash: $111 (462% of Medicare)

Ins. Median: $96 (399% 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 399% of the Medicare baseline (a markup of 299%). 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
Aetna	$46 - $101	191%
Blue Cross Blue Shield	$46 - $148	191%
Cigna	$46 - $132	191%
Devoted	$46	191%
Humana	$46	191%
Medical Mutual Of Ohio	$46 - $140	191%
Molina	$46	191%
Primetime Health Plan	$46	191%
Summacare	$46 - $75	191%
The Health Plan	$46 - $98	191%
UnitedHealthcare	$46 - $126	191%
Wellcare By Allwell	$46	191%
Paramount	$47	195%
Perennial Advantage Of Ohio	$48	200%
Valor Health Plans	$48	200%
University Health Employee Plan (Contigo)	$59	245%
Amish Aid Community Plan	$68	283%
Amish Church Fund And Workers Aid Plan	$68	283%
Buckeye Plain Ministries	$68	283%
Jp Farley	$70	291%
Clarity	$71	295%
Christian Healthcare Ministries	$74	308%
Immergrun	$74	308%
Sunrise Plan Communities	$74	308%
Aultcare	$81	337%
Ambetter / Centene	$83	345%
Caresource	$83	345%
Healthsmart	$96	399%
Ohio Health Choice	$96 - $133	399%
Medical Mutual Traditional/Health Ohio	$104	432%
Beech Street	$118 - $133	491%
Ohio Preferred Network	$118 - $133	491%
First Health	$123	511%
Century Health Network	$126	524%
Private Healthcare System	$127	528%
Configurenet	$133	553%
Fortified Provider Network	$133	553%
Multiplan	$133	553%

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 $111.
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 University Hospitals Conneaut Medical Center 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.