CMS Price Transparency Data

Speech therapy (group session)

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $173
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.19x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Hazel Hawkins Memorial Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 7.19x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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%)
Insurance Median: $173 (719%)
Ins. Median: $173 (719% 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 719% of the Medicare baseline (a markup of 619%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 Cross Blue Shield $27 - $278 112%
Blue Shield Mcare $27 - $62 112%
Caremore Med Adv - All Plans $27 - $62 112%
Kaiser Med Adv $27 - $62 112%
Central Hp Med Adv $28 - $66 116%
Triwest - All Plans $29 121%
Kaiser Mcal $30 125%
Medi-Cal $30 125%
Tricare $30 125%
Valley Hp Mcal $30 125%
UnitedHealthcare $36 - $247 150%
Ccah Mcal - All Plans $47 195%
Valley Hp Covered Ca $74 - $173 308%
Valley Hp Preferred $74 - $173 308%
Kaiser Comm - All Other Plans $83 - $194 345%
Blue Shield Of Ca - All Other Plans $85 - $199 353%
Valley Hp Classic - All Other Plans $88 - $207 366%
Beech Street Corp Ppo - All Plans $119 - $279 495%
Cigna $119 - $279 495%
Corvel Ppo - All Plans $119 - $279 495%
First Health Ppo - All Plans $119 - $279 495%
Great West Ppo - All Plans $119 - $279 495%
Nx Health Network - All Plans $119 - $279 495%
Interplan Ppo - All Plans $123 - $289 511%
Bce Emergis/Multi Ppo - All Plans $126 - $296 524%
Healthnet Hmo $126 - $296 524%
Healthnet Ppo - All Other Plans $126 - $296 524%
Metracomp Wc Ppo - All Plans $126 - $296 524%
One Hp Ppo - All Plans $126 - $296 524%
Admar Ppo - All Plans $127 - $299 528%
Pacific Hlth Alliance - All Plans $129 - $302 536%
Ccn Ppo - All Other Plans $133 - $312 553%
Choicecare Ppo/Hmo - All Plans $133 - $312 553%
Coastal Hlthcre Ppo/Hmo - All Plans $133 - $312 553%
Ccn (W/C) $140 - $329 582%
Central Coast Ppo - All Other Plans $140 - $329 582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals