CMS Price Transparency Data

Speech therapy (group session)

Facility: Excela Health - Frick Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $25
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Excela Health - Frick Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.04x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $53 (220%)
Insurance Median: $25 (104%)
Cash: $53 (220% of Medicare)
Ins. Median: $25 (104% 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.

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
Highmark Advantage Community Blue $21 87%
Upmc For Kids Chip $21 87%
Aetna $23 - $52 96%
Health Partners Plan $23 96%
Martin'S Point $23 96%
Peak Health $23 - $53 96%
Va $23 96%
Amerihealth Caritas $24 100%
Cigna $24 - $57 100%
Devoted $24 100%
Geisinger $24 100%
Humana $24 100%
Pa Health And Wellness $24 100%
The Health Plan Of West Virginia $24 - $53 100%
United $24 100%
Upmc $24 100%
American Health Plan Of Pa $25 104%
Highmark Wholecare $25 104%
Provider Network Of America $25 - $71 104%
Provider Plan Partners Plan $25 104%
UnitedHealthcare $25 104%
Upmc Health Plan $26 - $91 108%
Highmark Children'S Health Insurance Program $27 112%
Ambetter / Centene $28 116%
Highmark $31 - $50 129%
Velocity $34 141%
Community Blue $45 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals