CMS Price Transparency Data

Speech therapy (group session)

Facility: Clovis Community Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $25
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Clovis Community Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.04x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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%)
Insurance Median: $25 (104%)
Ins. Median: $25 (104% 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.

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 $21 - $25 87%
Blue Shield $21 - $27 87%
Cal Caloptima $21 87%
Ccs Fresno $21 87%
Ccs Kern $21 87%
Ccs Kings $21 87%
Ccs Madera/Sacramento $21 87%
Ccs Mariposa $21 87%
Ccs Merced $21 87%
Ccs Stanislaus $21 87%
Ccs Tulare $21 87%
Chdp $21 87%
Fresno County Funded Specialty Care $21 87%
Generic Care Out Of County $21 87%
Generic Ccs Other Counties $21 87%
Genetically Handicapped Person $21 87%
Gold Coast Medi-Cal $21 87%
Medi-Cal Alameda Alliance For Health $21 87%
Medi-Cal Blue Shield Promise Health $21 87%
Medi-Cal California Health & Wellness Plan $21 87%
Medi-Cal Cencal Health $21 87%
Medi-Cal Community Health Group $21 87%
Medi-Cal Contra Costa Health Plan $21 87%
Medi-Cal Health Plan Of San Mateo $21 87%
Medi-Cal Inland Empire Health $21 87%
Medi-Cal Kern Family Health $21 87%
Medi-Cal La Care Health $21 87%
Medi-Cal Molina $21 87%
Medi-Cal Partnership Health Plan Of Ca $21 87%
San Francisco Health Plan Medi-Cal $21 87%
Santa Clara Family Health Plan - Premier Health $21 87%
Santa Clara Family Health Plan - Valley Health $21 87%
Advantek Table Mountain Rancheria Tribal Member $25 104%
Aetna $25 - $100 104%
Blue Shield 65 Plus Hmo Ehs $25 104%
Blue Shield 65 Plus Hmo First Choice $25 104%
Blue Shield Hmo-Cvmp/Medpro $25 104%
Blue Shield Promise - Imperial $25 104%
Blue Shield Saint Agnes $25 104%
Blue Shield Sante $25 104%
Brand New Day $25 104%
Bscphp - Dhmso $25 104%
Bscphp - First Choice $25 104%
Bscphp Hmo - First Choice $25 104%
Care1St Hmo - Ehs $25 104%
Cares Act Provider Relief Fund $25 104%
Cigna $25 104%
Gemcare Hmo $25 104%
Generic $25 104%
Generic Bscphp $25 104%
Generic Victims Of Crime $25 104%
Hartford Life Supplement $25 104%
Healthnet Hmo - Cvmp/Medpro $25 104%
Healthnet Hmo - Dhmso $25 104%
Healthnet Hmo - La Salle $25 104%
Healthnet Hmo - Sante $25 104%
Healthnet Sante $25 104%
Healthnet Sante - Sub Cap Dual Risk $25 104%
Healthnet Sante Dual Risk $25 104%
Humana $25 104%
Kaiser $25 104%
Medi-Cal Innovative Integrated Health $25 104%
Medicare (plans) $25 104%
Meritage Blue Shield 65 Plus $25 104%
Meritage Brand New Day $25 104%
Meritage Healthnet Hmo $25 104%
Railroad Part A $25 104%
Railroad Part A & B $25 104%
Railroad Part B $25 104%
Sante $25 - $32 104%
Sante Sub Cap Healthnet Seniority $25 104%
Sante Sub Cap-Blue Shield/Sante $25 104%
Sante-Blue Shield/Sante $25 104%
Sante-Healthnet Seniority $25 104%
Sante-Sub Cap Ma Brand New Day $25 104%
Scan Health Plan $25 104%
Sequoia Pace - Peak Tpa $25 104%
Todays Pyramid $25 104%
UnitedHealthcare $25 - $26 104%
Us Marshal $25 104%
Victims Of Crime $25 104%
Well Path (Cfmg) $25 104%
Wellcare $25 104%
Alignment Health Plan $28 116%
Champion Health Plan Of California Ma $28 116%
Innovative Integrated Health Community Plans Hmo $28 116%
Imperial Health Plan Hmo $29 121%
Health Plan Of San Joaquin $31 129%
Sequoia Pace $31 129%
Correctcare Integrated Health $33 137%
Adventist -Mcl Calviva Sub Cap $34 141%
Healthnet $40 166%
Coalinga State Hospital $51 212%
Naphcare Inc-Mendota $54 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2755 Herndon Ave, Clovis, CA 93611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals