CMS Price Transparency Data
Speech therapy (group session)
Facility: Garfield Medical Center
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $172
- Cash Discount Price: $360
- vs. Medicare Baseline: 7.15x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Garfield Medical Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.15x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$360
Average discount available for prompt cash payment at this facility.
Insurance Median
$172
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: $360 (1497%)
Insurance Median: $172 (715%)
Cash: $360 (1497% of Medicare)
Ins. Median: $172 (715% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 715% of the Medicare baseline (a markup of 615%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Allied Physicians | $17 - $40 | 71% |
| Blue Cross Blue Shield | $17 - $374 | 71% |
| Veterans Administration | $19 | 79% |
| Ahmc Healthcare Inc | $21 - $224 | 87% |
| Beverly Hospital | $21 - $29 | 87% |
| Brand New Day | $21 - $33 | 87% |
| Care 1St Mcl/Gar Cap Reciprocity | $21 | 87% |
| Community Health Plan | $21 | 87% |
| Emanate Health | $21 - $33 | 87% |
| Health Net | $21 - $406 | 87% |
| Healthy Way La | $21 | 87% |
| La Care Health Plan | $21 - $411 | 87% |
| Other Non-Contracting Medi-Cal | $21 | 87% |
| Associated Hispanic Phys Of So Cal | $23 - $149 | 96% |
| Care First Health Plan | $23 - $75 | 96% |
| UnitedHealthcare | $23 - $448 | 96% |
| Aids Health Foundation | $24 - $26 | 100% |
| Avanti | $24 - $32 | 100% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $24 | 100% |
| Hollywood Presbyterian Medpoint Mcal | $24 | 100% |
| State Of California Medi-Cal | $24 | 100% |
| Aetna | $26 - $544 | 108% |
| Apa Aco Inc | $26 | 108% |
| Blue Shield | $26 - $438 | 108% |
| Central Health Plan | $26 - $299 | 108% |
| Cms | $26 | 108% |
| Easy Choice Health Plan | $26 | 108% |
| Humana | $26 | 108% |
| Non-Contract Medi-Care | $26 | 108% |
| Pacific Alliance Medical Center Comm/Sr | $26 | 108% |
| Blue Shield Of California | $27 - $393 | 112% |
| Cv-19 Hrsa Uninsured Testing And Tx | $27 | 112% |
| First Health Network | $27 - $523 | 112% |
| La Care Covered Direct | $27 | 112% |
| Physician Healthways Medical Corporation | $27 | 112% |
| Scan Health Plan Sr Hmo | $27 | 112% |
| Self-Pay | $27 | 112% |
| Ucla Impact Dept Of Uncology | $27 | 112% |
| Alignment Health Plan | $28 | 116% |
| Inter Valley Health Plan | $28 | 116% |
| Molina Healthcare | $28 | 116% |
| Molina Healthcare Of California | $28 - $33 | 116% |
| National Disaster Medical System | $29 | 121% |
| San Miguel Health Plan | $29 | 121% |
| Chinatown Service Center Pace | $32 | 133% |
| Ahmc Health Epo | $33 | 137% |
| Knox-Keene Act | $33 | 137% |
| Caloptima Direct | $35 | 146% |
| Preferred Health Network | $36 | 150% |
| Interplan | $37 - $560 | 154% |
| Athens Administrators | $38 | 158% |
| Multiplan | $38 - $635 | 158% |
| Other Non-Contracted Workers Compensation | $38 | 158% |
| Health Net Comm/Hmo | $42 - $411 | 175% |
| Health Net Inc | $43 | 179% |
| Employee Health Systems Mg | $46 - $149 | 191% |
| Private Pay | $50 | 208% |
| Access Ipa Ancillary | $60 | 249% |
| Family Health Alliance | $60 | 249% |
| Pacific Independent Physician Association | $60 | 249% |
| Advantage Care Ipa | $70 - $747 | 291% |
| Physicians Healthways Medi-Cal | $70 - $747 | 291% |
| Physicians Healthways Medical Corporation | $70 - $747 | 291% |
| Allied Physicians Risk Pool | $80 - $261 | 333% |
| Allied Physicians Risk Pool Agreement | $80 - $261 | 333% |
| Healthnet Medi Cal Cap | $80 - $261 | 333% |
| Pipa Risk Pool Agreement | $80 - $261 | 333% |
| Molina Medical Group | $90 - $291 | 374% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $92 - $299 | 383% |
| Health Net Foundation M Cal (Family Health Alliance) | $92 - $299 | 383% |
| Phys Assoc Of San Gab Valley | $92 - $299 | 383% |
| Allied Physicians Med Grp | $115 - $374 | 478% |
| Alhambra Hospital | $138 - $448 | 574% |
| Care 1St Health Plan | $138 - $448 | 574% |
| One Health Plan | $161 - $523 | 669% |
| Fmc Los Angeles Co Epo | $172 - $560 | 715% |
| Pacificare Ppo | $181 | 753% |
| Corvel Corporation | $184 - $598 | 765% |
| Americas Health Plan | $196 - $635 | 815% |
| Health Payors Organization | $207 - $672 | 861% |
| Cigna | $230 - $453 | 956% |
| East La Reg Ctr | $230 - $747 | 956% |
| Non Contract Commercial | $230 - $747 | 956% |
| One Legacy | $230 - $747 | 956% |
| Pacificare Of California Inc | $246 | 1023% |