CMS Price Transparency Data
Speech therapy (group session)
Facility: Children's Hosp of Los Angeles
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $60
- Cash Discount Price: $92
- vs. Medicare Baseline: 2.49x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Children's Hosp of Los Angeles is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 2.49x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$92
Average discount available for prompt cash payment at this facility.
Insurance Median
$60
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: $92 (383%)
Insurance Median: $60 (249%)
Cash: $92 (383% of Medicare)
Ins. Median: $60 (249% 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 249% of the Medicare baseline (a markup of 149%). 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.
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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 |
|---|---|---|
| Inland Empire Health Plan | $14 - $61 | 58% |
| Medi-Cal | $14 - $24 | 58% |
| Molina | $14 - $62 | 58% |
| Champus | $26 | 108% |
| Medicare (plans) | $26 | 108% |
| Altamed | $27 - $92 | 112% |
| Medicaid / KanCare | $28 - $92 | 116% |
| Shriners Hospital | $28 | 116% |
| Caloptima | $29 - $92 | 121% |
| Valley Presbyterian Hospital | $30 - $92 | 125% |
| La Care | $33 - $92 | 137% |
| Beech Street | $37 | 154% |
| Choc Health Alliance | $37 | 154% |
| Health Net | $37 - $115 | 154% |
| Incentive Health Network | $37 | 154% |
| Non-Contract Payors | $37 | 154% |
| St Francis Medical Center | $37 - $92 | 154% |
| Emanate Health Medical Center Mmc | $41 | 170% |
| Cigna | $43 | 179% |
| Kaiser | $43 - $52 | 179% |
| Axminster Medical Group | $44 - $100 | 183% |
| Community Family Care Ipa | $44 - $92 | 183% |
| Facey Medical Group | $44 - $100 | 183% |
| Hollywood Presbyterian Medical Center | $44 - $92 | 183% |
| St. John'S Health Clinic | $44 - $100 | 183% |
| Accarent Health | $46 | 191% |
| Citrus Valley Phys Grp | $46 - $60 | 191% |
| Gemcare Ipa | $46 | 191% |
| Managed Care Systems | $46 | 191% |
| Mercy Care | $46 | 191% |
| Pioneer Prov Ntwk | $46 | 191% |
| Sansum Clinic | $46 | 191% |
| Staywell Insurance | $46 | 191% |
| Blue Cross Blue Shield | $47 - $448 | 195% |
| Heritage Provider Network | $47 - $92 | 195% |
| Adventist Health Physicians | $48 - $92 | 200% |
| Aetna | $48 - $51 | 200% |
| Book Md | $48 | 200% |
| Applecare Medical Group | $49 - $195 | 204% |
| Good Samaritan Medical Group | $49 | 204% |
| Blue Shield | $50 - $92 | 208% |
| Bella Vista Med Grp | $51 - $108 | 212% |
| Centinela Valley Ipa | $51 - $108 | 212% |
| Choice Medical Group | $51 | 212% |
| Community Care | $51 | 212% |
| Culinary Health Fund | $51 - $53 | 212% |
| Global Care Medical Group | $51 - $108 | 212% |
| Health Care La Ipa | $51 - $108 | 212% |
| Intl - Global Excel Management | $51 - $60 | 212% |
| Intl - Global Medical Management | $51 | 212% |
| Intl - Quality Health Management | $51 - $60 | 212% |
| National Healthcare Solutions | $51 | 212% |
| Premier Physicians Ntwk | $51 - $108 | 212% |
| Serra Community Med Clinic | $51 - $92 | 212% |
| Care 1St | $52 - $92 | 216% |
| White Memorial Medical Center | $52 - $92 | 216% |
| UnitedHealthcare | $53 - $202 | 220% |
| Access Medical Group | $54 | 225% |
| Alhambra Hospital Medical Center | $54 - $92 | 225% |
| Cal Care Ipa | $54 - $92 | 225% |
| Seoul Medical Group | $54 | 225% |
| Allied Pacific Ipa | $55 - $92 | 229% |
| Associated Hispanic Physicians Ipa | $55 - $92 | 229% |
| Beverly Hospital | $55 - $92 | 229% |
| Bright Medical Associates | $55 | 229% |
| Delta Health Systems | $55 | 229% |
| Emanate Health Medical Center Commercial | $55 | 229% |
| Family Care Specialists | $55 - $170 | 229% |
| Gold Coast Health Plan | $55 - $92 | 229% |
| Hispanic Physician Ipa | $55 - $92 | 229% |
| Los Angeles Medical Center Ipa | $55 - $92 | 229% |
| Pacific Alliance Medical Center | $55 - $92 | 229% |
| Preferred Ipa | $55 - $92 | 229% |
| Preferred Ipa - Commercial | $55 | 229% |
| Private Hlthcare System | $55 | 229% |
| San Judas Med Grp | $55 - $92 | 229% |
| Sanus Health | $55 | 229% |
| Self-Pay | $55 | 229% |
| Ventura County Health Plan | $55 - $251 | 229% |
| Cencal Health | $57 - $92 | 237% |
| Intl - Aixin Life Insurance Co | $57 - $60 | 237% |
| Souther California Hosp System - Mmc | $57 - $92 | 237% |
| Sierra Health And Life Insurance Company | $58 | 241% |
| Angeles Ipa | $59 - $92 | 245% |
| Crown City Medical Group | $59 - $92 | 245% |
| Employee Health Systems Med Grp | $59 - $92 | 245% |
| Point Comfort Underwriters | $59 | 245% |
| Seaside Health Plan | $59 - $92 | 245% |
| Axis Services International | $60 | 249% |
| Calvo Selectcare | $60 | 249% |
| Cedar Sinai Med Grp | $60 | 249% |
| Embassy - Saudi Arabia | $60 | 249% |
| Imperial Health Holdings Medical Group | $60 - $92 | 249% |
| Intl - Concierge Healthcare Services | $60 | 249% |
| Intl - Erv Travel Services | $60 - $64 | 249% |
| Intl - Msh China Enterprise Services | $60 | 249% |
| Lakewood Health Plan | $60 | 249% |
| Marian Health Services | $60 | 249% |
| Plotkin Health | $60 | 249% |
| Prime Health Services | $60 | 249% |
| Redlands Community Hospital | $60 | 249% |
| Serra Community Med Clinic - Commercial | $60 | 249% |
| Star Healthcare Network Commercial | $60 | 249% |
| Beaver Medical Group | $64 | 266% |
| Korean American Med Grp | $64 | 266% |
| Memorialcare Med Foundation | $64 | 266% |
| Multiplan | $64 | 266% |
| Primecare Medical Network | $64 | 266% |
| Dignity Health | $66 - $92 | 274% |
| Embassy - Kuwait | $69 | 287% |
| Interlink Health Services | $69 | 287% |
| Prospect Medical Group | $69 | 287% |
| Kern Family Health Plan | $73 - $92 | 304% |
| Embassy - All Others | $74 | 308% |
| Self-Pay International | $74 | 308% |
| Accountable Health | $92 - $142 | 383% |
| Asian Community Medical Group | $92 - $208 | 383% |
| Avalon Ipa | $92 - $166 | 383% |
| California Pacific Physicians Medical Group | $92 - $208 | 383% |
| Community Care Ipa Mmc | $92 - $167 | 383% |
| El Proyecto Del Barrio | $92 - $108 | 383% |
| Exceptional Care Medical Group | $92 - $223 | 383% |
| Family Health Alliance Med Grp | $92 - $174 | 383% |
| Healthy New Life Medical Corp | $92 - $208 | 383% |
| Karing Physicians Medical Group | $92 - $178 | 383% |
| Mabuhay Medical Group | $92 - $166 | 383% |
| Noble Community Medical Associates | $92 - $178 | 383% |
| Primary Care And Pediatric Ipa | $92 - $166 | 383% |
| Regent Medical Group | $92 - $178 | 383% |
| Serendib Healthways Mmc | $92 - $150 | 383% |
| Southern Atlantic Medical Group Mmc | $92 | 383% |
| Southland San Gabriel Valley Medical Group | $92 - $238 | 383% |
| Superior Choice Medical Group | $92 - $248 | 383% |
| Watts Healthcare Mmc | $92 - $108 | 383% |
| Providence Health Network | $173 | 719% |