CMS Price Transparency Data

Speech therapy (group session)

Facility: PAM Rehabilitation Hospital of Dayton LLC

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $27
Cash Discount Price: $111
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at PAM Rehabilitation Hospital of Dayton LLC is $27. 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 1.12x the Medicare baseline. Located in 2310 Crosspointe Dr, Miamisburg, OH.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $27 (112%)

Cash: $111 (462% of Medicare)

Ins. Median: $27 (112% 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.

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	$15 - $22	62%
Blue Cross Blue Shield	$22 - $140	91%
Buckeye Community Health Plan	$22 - $31	91%
Caresource	$22 - $31	91%
Humana	$22 - $31	91%
Ilumed Aco Reach	$22	91%
Medical Mutual Of Ohio	$22 - $100	91%
Molina	$22 - $31	91%
Palm Beach Aco Reach	$22	91%
The Health Plan	$22	91%
UnitedHealthcare	$22 - $175	91%
Mount Carmel Health Plan	$26	108%
Velocity Provider Ppo Network	$27 - $84	112%
Custom Design Benefits	$32	133%
America'S Choice Provider Network	$78	324%
Quik Trip	$84	349%
Usa Managed Care Organization	$84	349%
Multiplan/Phcs	$89	370%

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 PAM Rehabilitation Hospital of Dayton LLC 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.