CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Scripps Memorial Hospital La Jolla
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $84
- Cash Discount Price: $64
- vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Scripps Memorial Hospital La Jolla is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.10x the Medicare baseline. Located in 9888 Genesee Avenue, La Jolla, CA.
Cash / Self-Pay
$64
Average discount available for prompt cash payment at this facility.
Insurance Median
$84
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$76.15
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $76.15 (100%)
Cash / Self-Pay: $64 (84%)
Insurance Median: $84 (110%)
Cash: $64 (84% of Medicare)
Ins. Median: $84 (110% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $76.15 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Radys Cpmg [803] | $21 | 28% |
| Aetna | $50 - $130 | 66% |
| UnitedHealthcare | $50 - $90 | 66% |
| Blue Cross Blue Shield | $54 - $84 | 71% |
| Bc [814] | $57 | 75% |
| Imperial County Phys Med Group [855] | $57 - $88 | 75% |
| Integrated Health Partners [894] | $57 | 75% |
| Perlman Med Group [899] | $57 | 75% |
| Sharp Comm Med Grp [812] | $57 - $117 | 75% |
| Sharp Rees Stealy Med Grp [811] | $57 - $117 | 75% |
| Ucsd [807] | $57 - $117 | 75% |
| Centivo [581] | $59 | 77% |
| Cigna | $59 - $102 | 77% |
| Mc Alignment [917] | $59 | 77% |
| Mc Blue Shield Promise Health Plan [914] | $59 | 77% |
| Mc Blue Shield [902] | $59 | 77% |
| Mc Health Net [904] | $59 | 77% |
| Mc Scan [905] | $59 | 77% |
| Mc United [906] | $59 | 77% |
| Astiva Mcr Adv [464] | $84 | 110% |
| Bc Mcr Adv [830] | $84 | 110% |
| Bs Mcr Adv [829] | $84 | 110% |
| Central Health Mcr Adv [441] | $84 | 110% |
| Clever Care Mcr Adv [465] | $84 | 110% |
| D-Snp Mcr Adv [889] | $84 | 110% |
| Dsnp/Csnp - Generic [458] | $84 | 110% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $84 | 110% |
| Family Health Centers Pace Medi-Cal [555] | $84 | 110% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $84 | 110% |
| Gpmg/Altura - Mcr Adv [888] | $84 | 110% |
| Hn Mcr Adv [832] | $84 | 110% |
| Humana | $84 | 110% |
| Integrated Health Partners - Mcr Adv [895] | $84 | 110% |
| Kaiser Northern Ca Region Mcr Adv [386] | $84 | 110% |
| La Care Mcr Adv Hmo [612] | $84 | 110% |
| Medicare (plans) | $84 | 110% |
| Mpmg Mcr Adv [836] | $84 | 110% |
| Mpmg [800] | $84 | 110% |
| Ocn Mcr Adv [890] | $84 | 110% |
| San Diego Pace Medi-Cal [553] | $84 | 110% |
| Scan Mcr Adv [835] | $84 | 110% |
| Scan [500] | $84 | 110% |
| Scan [818] | $84 | 110% |
| Sharp Comm Med Grp Mcr Adv [840] | $84 | 110% |
| Sharp Health Plan Mcr Adv [531] | $84 | 110% |
| Sharp Health Plan Mcr Adv [897] | $84 | 110% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $84 | 110% |
| St Paul'S Pace Medi-Cal [551] | $84 | 110% |
| Ucsd Mcr Adv [873] | $84 | 110% |
| Uh Mcr Adv [831] | $84 | 110% |
| Uh Palomar Health Mcr Adv [885] | $84 | 110% |
| Blue Shield [230] | $85 - $92 | 112% |
| Alignment Health Plan [443] | $86 | 113% |
| Health Net [340] | $86 - $209 | 113% |
| Hn [815] | $86 | 113% |
| Bs [816] | $88 - $91 | 116% |
| Uh [819] | $90 | 118% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $98 | 129% |
| Kaiser [380] | $98 | 129% |
| Kaiser [383] | $98 | 129% |
| Rady Children'S Hospital [825] | $105 | 138% |
| Palomar Health [892] | $117 | 154% |
| Veba Med Grp [813] | $117 | 154% |
| Prime Healthcare [614] | $142 | 186% |
| Prospect Med Group [893] | $146 | 192% |
| Multi Plan Network [470] | $183 | 240% |
| First Health Network [330] | $193 | 253% |
| Pnoa [615] | $193 | 253% |
| Choice Care Network [270] | $206 | 271% |
| Healthsmart [350] | $206 | 271% |