CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Los Robles Hospital & Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $85
Cash Discount Price: $546
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Los Robles Hospital & Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.12x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$546

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $546 (717%)

Insurance Median: $85 (112%)

Cash: $546 (717% of Medicare)

Ins. Median: $85 (112% 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

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
Brand New Day	$38 - $83	50%
Gold Coast Health Plan	$38	50%
Aetna	$82 - $546	108%
Health Net	$82 - $222	108%
Medcare Partners	$82	108%
Alignment Health Plan	$83	109%
Blue Cross Blue Shield	$83	109%
Central Health Plan	$83	109%
Clever Care Of Golden State	$83	109%
Easy Choice Health Plan	$83	109%
Facey Medical Group	$83 - $108	109%
Humana	$83	109%
La Care	$83	109%
Scan Health Plan	$83	109%
Triwest Healthcare Alliance	$83	109%
United	$84 - $154	110%
Blue Shield	$85 - $763	112%
Care1St Health Plan	$85	112%
Corvel Corporation	$97	127%
Ventura County Foundation	$98 - $492	129%
Bright Health	$151	198%
First Health	$372 - $437	489%
Choicecare Network	$383	503%
Multiplan	$437 - $519	574%
Ppo Next	$437	574%
Interplan Corporation	$492	646%

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 $546.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

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 92507.
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.