CMS Price Transparency Data

Speech therapy (group session)

Facility: Adventist Health Delano

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $42
Cash Discount Price: $29
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Adventist Health Delano is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.75x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $29 (121%)

Insurance Median: $42 (175%)

Cash: $29 (121% of Medicare)

Ins. Median: $42 (175% 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
Bakersfield Fam Med Grp-All Plans	$25	104%
Healthnet Mcr Adv	$25	104%
Kern Mcr Adv Dual Dnsp-All Other Plans	$25	104%
Medicare (plans)	$25 - $41	104%
Tricare	$25	104%
UnitedHealthcare	$25 - $106	104%
Universal Care Mcr- All Other Plans	$25	104%
Dignty Hlth Mcal Op Only	$30	125%
Kaiser Medi-Cal Ip/Op Only	$30	125%
Medi-Cal	$30	125%
Universal Care Mcal	$30	125%
Blue Shield Epn - All Other Plans	$32	133%
Blue Cross Blue Shield	$35 - $122	146%
Healthnet Medi-Cal	$35	146%
Kern Health System Mcal	$38	158%
Kaiser Comm Ip/Op Only- All Other Plans	$44	183%
Ah Employee Health Plan - All Plans	$46	191%
Centivo - All Plans	$57	237%
Healthnet- All Other Plans	$78	324%
Coventry- All Plans	$88	366%
County Of Kern Network - All Plans	$103	428%
Gem Care- All Plans	$103	428%
Aetna	$108	449%
Foundation For Medical Care Of Kern County - All P	$110	457%
Cigna	$118	491%
Western Growers - All Plans	$119	495%
Blue Shield Non-Epn	$262	1089%

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 $29.
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 Adventist Health Delano 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.