CMS Price Transparency Data

Speech therapy (group session)

Facility: Loma Linda University Children's Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $247
Cash Discount Price: $168
vs. Medicare Baseline: 10.27x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Loma Linda University Children's Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 10.27x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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: $168 (699%)

Insurance Median: $247 (1027%)

Cash: $168 (699% of Medicare)

Ins. Median: $247 (1027% 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 1027% of the Medicare baseline (a markup of 927%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Inland Empire Health Plan (Iehp)	$4	17%
Kaiser Foundation Hospitals	$5 - $249	21%
Adventist Health	$75 - $153	312%
Lluh Dept Of Risk Management	$90	374%
Epic Health Plan	$149	620%
Alpha Care Medical Group	$205 - $317	852%
UnitedHealthcare	$206 - $417	857%
Global Benefits Group	$224	931%
Temecula Valley Physicians Medical Group	$224	931%
Trivalley Medical Group	$224	931%
Cigna	$239 - $276	994%
Networks By Design	$242	1006%
Aetna	$245	1019%
Molina Healthcare Of Ca	$261	1085%
Blue Shield Of California	$279 - $421	1160%
Multiplan	$298	1239%
Dignity Health	$317	1318%
Galaxy Health	$317	1318%
Prime Health Services	$317	1318%
Vantage Medical Group	$317	1318%
Blue Cross Blue Shield	$457	1900%

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 $168.
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 Loma Linda University Children's Hospital 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.