CMS Price Transparency Data

Speech therapy (group session)

Facility: Community Memorial Hospital - Ventura

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $35
Cash Discount Price: $245
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Community Memorial Hospital - Ventura is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.46x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $245 (1019%)

Insurance Median: $35 (146%)

Cash: $245 (1019% of Medicare)

Ins. Median: $35 (146% 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
Medi-Cal	$24	100%
Non Contracted	$24 - $26	100%
Blue Cross Blue Shield	$26 - $36	108%
California Workers Compensation	$26	108%
Medicare (plans)	$26 - $27	108%
Seaview	$26	108%
Tricare	$26	108%
Wellcare Of California	$26	108%
Aetna	$27 - $216	112%
Alignment Health Plan	$27	112%
Humana	$27	112%
Scan Health Plan	$27	112%
UnitedHealthcare	$27 - $420	112%
Valley Care	$34 - $102	141%
Gold Coast Health Plan	$35 - $143	146%
Medicaid / KanCare	$35 - $143	146%
Ventura County Health Care Plan	$102	424%
Multiplan	$245	1019%
Cigna	$290	1206%
Health Net Commercial	$408	1696%
Kaiser Commercial	$528	2195%
Blue Shield Epn	$578	2403%
Blue Shield Commercial	$626	2603%

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 $245.
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 Community Memorial Hospital - Ventura 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.