CMS Price Transparency Data

Speech therapy (group session)

Facility: Grossmont Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $128
Cash Discount Price: $152
vs. Medicare Baseline: 5.32x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Grossmont Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 5.32x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $152 (632%)

Insurance Median: $128 (532%)

Cash: $152 (632% of Medicare)

Ins. Median: $128 (532% 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 532% of the Medicare baseline (a markup of 432%). 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
Blue Cross Blue Shield	$30 - $182	125%
Cigna	$60	249%
Indian Health Council	$62 - $128	258%
Molina	$62 - $6,237	258%
Health Net	$80 - $141	333%
Managed Health Network	$85	353%
Medi-Cal	$85	353%
UnitedHealthcare	$85 - $126	353%
Aetna	$101 - $7,998	420%
Community Health Group	$101 - $135	420%
Kaiser	$101 - $134	420%
San Diego Pace	$120 - $166	499%
Interplan	$123 - $128	511%
California Health And Wellness	$129	536%
Blue Shield	$139 - $162	578%
Medicare (plans)	$141	586%
Allianz Global Assistance	$152 - $182	632%
Humana	$152	632%
Epic Americas	$162	674%

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 $152.
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 Grossmont 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.