CMS Price Transparency Data

Speech therapy (group session)

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $157
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 6.53x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Cleveland Clinic Children's Hospital for Rehab is $157. 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 6.53x the Medicare baseline. Located in 2801 Martin Luther King, Jr Drive, Cleveland, OH.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$157

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: $157 (653%)
Cash: $170 (707% of Medicare)
Ins. Median: $157 (653% 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 653% of the Medicare baseline (a markup of 553%). 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 $73 - $262 304%
Oscar $79 - $101 328%
Aultcare $89 370%
Cigna $113 - $210 470%
UnitedHealthcare $117 - $192 486%
Amish Community Aid Plan $118 - $131 491%
Ohcp $127 528%
Paramount $127 528%
Blue Cross Blue Shield $130 - $198 541%
Molina $130 541%
Summacare $130 - $132 541%
Caresource $132 549%
United $132 - $150 549%
Amerihealth $136 565%
Buckeye $143 - $174 595%
Healthsmart $144 599%
Php $157 653%
Phphi $157 653%
The Health Plan $157 653%
Upmc $157 653%
Gms $183 761%
Medical Benefit Corp $183 761%
Quality Care Partners $183 761%
Cc Ehp $186 773%
Consociate Health $196 815%
Ohio Healthy $210 873%
Managed Care Services $236 981%
Multiplan $236 981%
Three Rivers $236 981%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 Martin Luther King, Jr Drive, Cleveland, OH 44104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens