CMS Price Transparency Data

Speech therapy (group session)

Facility: Ventura County Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $37
Cash Discount Price: $90
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Ventura County Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.54x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $90 (374%)

Insurance Median: $37 (154%)

Cash: $90 (374% of Medicare)

Ins. Median: $37 (154% 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
Tricare	$26	108%
Alignment Hp - All Plans	$27	112%
Blue Shield Mcr Adv	$27	112%
Humana	$27	112%
UnitedHealthcare	$27 - $98	112%
Healthnet Mcr Adv	$28	116%
Clinicas Mcr Adv	$30	125%
Hpn Ip/Op Only Medi-Cal	$30	125%
Kaiser Medi-Cal Ip/Op Only	$30	125%
Medi-Cal	$30	125%
Americas Hp Mcr Adv Ip/Op Only	$31	129%
Scan-All Plans	$32	133%
Kaiser Mcal Pediatric Ip/Op Only	$33	137%
Western Growers-All Plans	$33	137%
Clinicas Comm - All Other Plans	$34	141%
Imperial-All Plans	$34	141%
Ntwrk Provdrs-All Plans	$34	141%
Vchcp-All Plans	$34	141%
Clinicas Mcal	$37	154%
Americas Hp Mcal Ip/Op Only	$38	158%
Americas Hp Comm Ip/Op Only-All Other Plans	$40	166%
Gold Coast Medi-Cal-All Plans	$52	216%
Blue Shield Epn	$69	287%
Healthnet Comm-All Other Plans	$98	407%
Kaiser Comm Pediatric Ip/Op Only	$98	407%
Aetna	$104 - $179	432%
Multiplan/Claritev-All Plans	$143	595%
Three Rivers Ip/Op Only-All Plans	$143	595%
Cigna	$148	615%
Ppo Next Ip/Op Only-All Plans	$161	669%
Blue Shield Comm - All Other Plans	$172	715%
Kaiser Mcr Pediatric Ip/Op Only	$179	744%
Medicare (plans)	$179	744%
Blue Cross Blue Shield	$234	973%
Hpn Comm Ip/Op Only-All Other Plans	$254	1056%

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 $90.
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 Ventura County Medical Center 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.