CMS Price Transparency Data

Speech therapy (group session)

Facility: Los Robles Hospital & Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $31
Cash Discount Price: $309
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Los Robles Hospital & Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.29x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$309

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $309 (1285%)

Insurance Median: $31 (129%)

Cash: $309 (1285% of Medicare)

Ins. Median: $31 (129% 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
Aetna	$26 - $309	108%
Brand New Day	$26 - $27	108%
Gold Coast Health Plan	$26	108%
Health Net	$26 - $126	108%
Alignment Health Plan	$27	112%
Blue Cross Blue Shield	$27	112%
Blue Shield	$27 - $351	112%
Care1St Health Plan	$27	112%
Central Health Plan	$27	112%
Clever Care Of Golden State	$27	112%
Easy Choice Health Plan	$27	112%
Facey Medical Group	$27 - $34	112%
Humana	$27	112%
La Care	$27	112%
Scan Health Plan	$27	112%
Triwest Healthcare Alliance	$27	112%
United	$27 - $87	112%
Corvel Corporation	$31	129%
Ventura County Foundation	$31 - $278	129%
Medcare Partners	$46	191%
Bright Health	$85	353%
First Health	$210 - $248	873%
Choicecare Network	$217	902%
Multiplan	$248 - $294	1031%
Ppo Next	$248	1031%
Interplan Corporation	$278	1156%

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 $309.
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 Los Robles Hospital & 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.