CMS Price Transparency Data

Speech therapy (group session)

Facility: Nationwide Children's Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $203
Cash Discount Price: $243
vs. Medicare Baseline: 8.44x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Nationwide Children's Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 8.44x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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: $243 (1010%)

Insurance Median: $203 (844%)

Cash: $243 (1010% of Medicare)

Ins. Median: $203 (844% 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 844% of the Medicare baseline (a markup of 744%). 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
Tricare	$21	87%
Caresource	$34 - $131	141%
Aetna	$39 - $256	162%
Blue Cross Blue Shield	$42 - $254	175%
Humana	$52 - $256	216%
UnitedHealthcare	$63 - $256	262%
Ohio Ppo Connect	$68 - $251	283%
Osu	$68 - $251	283%
Amerihealth	$131	545%
Bchp	$131	545%
Molina	$131	545%
Mmo	$194 - $254	807%
Cigna	$202 - $254	840%
Front Path Health Coalition	$202 - $254	840%
Ohc	$202 - $251	840%
Ohg	$202 - $243	840%
The Health Plan	$202 - $259	840%
Ahpo	$254	1056%
Unicare	$256	1064%
Emerald Health	$265	1102%
First Health	$265	1102%
Phcs	$265	1102%

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 $243.
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 Nationwide Children's 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.