CMS Price Transparency Data

Speech therapy (group session)

Facility: Highland District Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $55
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 2.29x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Highland District Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.29x the Medicare baseline. Located in 1275 North High Street, Hillsboro, OH.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $84 (349%)
Insurance Median: $55 (229%)
Cash: $84 (349% of Medicare)
Ins. Median: $55 (229% 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 229% of the Medicare baseline (a markup of 129%). 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
Aetna $34 - $85 141%
Blue Cross Blue Shield $34 - $80 141%
Humana $34 - $93 141%
Medicare (plans) $34 - $35 141%
UnitedHealthcare $34 141%
Medigold $35 146%
Highland_County_Sheriff_Dept $52 216%
Medicaid / KanCare $52 - $55 216%
Immergrun_Amish $84 349%
Medben $84 349%
Central_Benefits_Commercial $94 391%
Cigna $94 391%
Medical_Mutual_Commercial $96 399%
Uhc_ $97 403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals