CMS Price Transparency Data
Speech therapy (group session)
Facility: Coastal Communities Hospital
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $19
- Cash Discount Price: $19
- vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Coastal Communities Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 0.79x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$19
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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: $19 (79%)
Insurance Median: $19 (79%)
Cash: $19 (79% of Medicare)
Ins. Median: $19 (79% 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
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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 |
|---|---|---|
| Ihhi Reciprocity | $6 | 25% |
| First Health | $10 | 42% |
| Heritage Provider Network | $11 - $19 | 46% |
| Magellan | $11 | 46% |
| Cigna | $12 - $315 | 50% |
| Kaiser | $12 - $19 | 50% |
| Health Net | $13 - $33 | 54% |
| Multiplan | $13 - $19 | 54% |
| Networks By Design | $13 | 54% |
| Networks By Design Wc | $13 | 54% |
| Healthsmart | $14 | 58% |
| Interplan | $14 - $19 | 58% |
| Prime Health | $14 | 58% |
| Pnoa-Provider Network Of America | $15 | 62% |
| Prime Health Srvs | $15 - $22 | 62% |
| Prime Health Srvs/Network | $16 | 67% |
| Prime Health Srvs/Wc | $16 | 67% |
| Altamed Health Services | $18 - $19 | 75% |
| Champus | $18 | 75% |
| Altamed Mcal Hmo (Ancillary) | $19 | 79% |
| Blue Shield | $19 - $72 | 79% |
| Caloptima | $19 | 79% |
| Central Health Plan Of California | $19 | 79% |
| Champion Health Plan | $19 | 79% |
| Choc Health Alliance | $19 | 79% |
| Choice Physicians Network | $19 | 79% |
| Citizens Choice Health Plan | $19 | 79% |
| Clever Care Health Plan | $19 | 79% |
| County Of Orange | $19 | 79% |
| Coventry Auto Network | $19 | 79% |
| Coventry Wc | $19 | 79% |
| Easy Choice Health Plan | $19 | 79% |
| Family Choice | $19 | 79% |
| For Your Benefit | $19 | 79% |
| Healthcare Partners | $19 | 79% |
| Healthcare Partners Sr Hmo | $19 | 79% |
| Heritage | $19 | 79% |
| Hollywood Presbyterian | $19 | 79% |
| Humana | $19 | 79% |
| Imperial Health Plan Of Ca | $19 | 79% |
| Innovative Integrated Health | $19 | 79% |
| Kpc Healthcare Inc | $19 - $24 | 79% |
| Lucet Behavioral Health Sr | $19 | 79% |
| Managed Health Network | $19 | 79% |
| Medcare Partners | $19 | 79% |
| Medi-Cal Hmo/Non Contract | $19 | 79% |
| Medicaid / KanCare | $19 | 79% |
| Monarch | $19 - $167 | 79% |
| Onecare | $19 | 79% |
| Onecare Connect | $19 | 79% |
| Other Insurance Loa | $19 | 79% |
| Other Non Contracted Plans | $19 | 79% |
| Other Senior Non Contract | $19 | 79% |
| Private Pay | $19 | 79% |
| Prospect Health Plan | $19 - $28 | 79% |
| Scan Health Plan | $19 | 79% |
| Self Pay Ab774/Cbo Use Only | $19 | 79% |
| Three Rivers | $19 | 79% |
| UnitedHealthcare | $19 - $216 | 79% |
| Us Behavioral Health Plan | $19 | 79% |
| Us Dept Of Labor | $19 | 79% |
| Us Federal Marshall/Department Of Immigration | $19 | 79% |
| Velocity National Provider Network Wc | $19 | 79% |
| Velocity Provider Network Sr | $19 | 79% |
| Verda Health Plan Sr | $19 | 79% |
| Veterans Administration | $19 | 79% |
| Victim Of Violent Crime | $19 | 79% |
| Victoria Hospice | $19 | 79% |
| Vitas Hospice | $19 | 79% |
| Workers Comp State Of California | $19 | 79% |
| Brand New Day | $21 | 87% |
| County Of Orange/Custody/Advanced Medmgt | $24 | 100% |
| Veterans Evaluation Services | $24 | 100% |
| Staywell/Island Home Ins | $27 | 112% |
| Three Rivers Network | $33 | 137% |
| Velocity National Provider Network Ppo | $33 | 137% |
| Aetna | $69 | 287% |
| Monarch Health Plan | $179 | 744% |