CMS Price Transparency Data

Speech therapy (group session)

Facility: Adventist Health Tulare

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $39
Cash Discount Price: $21
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Adventist Health Tulare is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.62x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $21 (87%)

Insurance Median: $39 (162%)

Cash: $21 (87% of Medicare)

Ins. Median: $39 (162% 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
Blue Shield Mcare	$25	104%
Dignity Mcr Op Only - All Other Plans	$25	104%
Fhcn Pace Mcr Adv - All Plans	$25	104%
Medicare (plans)	$25	104%
Prime Health - All Plans	$25	104%
Tricare	$25	104%
UnitedHealthcare	$25 - $407	104%
Medi-Cal	$30	125%
Prison Hlthcre - All Plans	$32	133%
Cal Forensic Med Grp - All Plans	$33	137%
Dignity Mcal Op Only	$33	137%
Independence Op Only - All Plans	$33	137%
Blue Cross Blue Shield	$35 - $410	146%
Bright Health - All Plans	$37	154%
Ccipa Medi-Cal - All Plans	$38	158%
Healthnet Medi-Cal	$39	162%
Ah Employee Health Plan - All Plans	$46	191%
Incentive Hlth - All Plans	$46	191%
Cigna	$51	212%
Western Growers - All Plans	$52	216%
Healthnet Hmo/Ppo - All Other Plans	$67	279%
Network By Design-All Plans	$72	299%
Hs Interplan-All Plans	$74	308%
Multiplan - All Plans	$94	391%
Aetna	$143	595%
Blue Shield Epn	$256	1064%
Blue Shield-All Other Plans	$356	1480%

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 $21.
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 Tulare 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.