CMS Price Transparency Data

Speech therapy (group session)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $114
Cash Discount Price: $152
vs. Medicare Baseline: 4.74x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Sharp Coronado Hospital and Hlthcr Ctr is $114. 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 4.74x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $114 (474%)

Cash: $152 (632% of Medicare)

Ins. Median: $114 (474% 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 474% of the Medicare baseline (a markup of 374%). 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
Aetna	$30 - $198	125%
Community Health Group	$60 - $152	249%
Interplan	$60	249%
Blue Cross Blue Shield	$61 - $162	254%
Health Net	$69 - $132	287%
Medi-Cal	$81 - $114	337%
Molina	$81 - $141	337%
UnitedHealthcare	$81 - $121	337%
Multiplan	$93 - $162	387%
Blue Shield	$97 - $141	403%
Medicare (plans)	$113 - $162	470%
Allianz Global Assistance	$114	474%
California Health And Wellness	$126	524%
County Medical Services	$141	586%
Epic Americas	$156	649%
Cigna	$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 Sharp Coronado Hospital and Hlthcr Ctr 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.