CMS Price Transparency Data
Speech therapy (group session)
Facility: Clovis Community Medical Center
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $25
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Clovis Community Medical Center is $25. 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 1.04x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$25
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: $25 (104%)
Ins. Median: $25 (104% 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.
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 |
|---|---|---|
| San Francisco Health Plan Medi-Cal | $21 | 87% |
| Generic Care Out of County | $21 | 87% |
| Gold Coast Medi-Cal | $21 | 87% |
| Medi-Cal La Care Health | $21 | 87% |
| Blue Cross Blue Shield | $21 - $25 | 87% |
| Ccs Kings | $21 | 87% |
| Ccs Stanislaus | $21 | 87% |
| Ccs Tulare | $21 | 87% |
| Medi-Cal California Health & Wellness Plan | $21 | 87% |
| Generic Ccs Other Counties | $21 | 87% |
| Chdp | $21 | 87% |
| Medi-Cal Contra Costa Health Plan | $21 | 87% |
| Medi-Cal Partnership Health Plan of Ca | $21 | 87% |
| Medi-Cal Alameda Alliance for Health | $21 | 87% |
| Santa Clara Family Health Plan - Valley Health | $21 | 87% |
| Ccs Merced | $21 | 87% |
| Medi-Cal Inland Empire Health | $21 | 87% |
| Medi-Cal Blue Shield Promise Health | $21 | 87% |
| Ccs Kern | $21 | 87% |
| Blue Shield | $21 - $27 | 87% |
| Cal Caloptima | $21 | 87% |
| Genetically Handicapped Person | $21 | 87% |
| Ccs Mariposa | $21 | 87% |
| Medi-Cal Kern Family Health | $21 | 87% |
| Medi-Cal Cencal Health | $21 | 87% |
| Ccs Fresno | $21 | 87% |
| Medi-Cal Health Plan of San Mateo | $21 | 87% |
| Ccs Madera/Sacramento | $21 | 87% |
| Medi-Cal Molina | $21 | 87% |
| Medi-Cal Community Health Group | $21 | 87% |
| Fresno County Funded Specialty Care | $21 | 87% |
| Santa Clara Family Health Plan - Premier Health | $21 | 87% |
| Medi-Cal Innovative Integrated Health | $25 | 104% |
| Wellcare | $25 | 104% |
| Care1St HMO - Ehs | $25 | 104% |
| Generic | $25 | 104% |
| Bscphp HMO - First Choice | $25 | 104% |
| Bscphp - Dhmso | $25 | 104% |
| Healthnet HMO - Sante | $25 | 104% |
| Healthnet HMO - Cvmp/Medpro | $25 | 104% |
| Todays Pyramid | $25 | 104% |
| Blue Shield 65 Plus HMO Ehs | $25 | 104% |
| Sante-Blue Shield/Sante | $25 | 104% |
| Bscphp - First Choice | $25 | 104% |
| Blue Shield Promise - Imperial | $25 | 104% |
| Healthnet Sante Dual Risk | $25 | 104% |
| Railroad Part A & B | $25 | 104% |
| Hartford Life Supplement | $25 | 104% |
| Meritage Healthnet HMO | $25 | 104% |
| Blue Shield Saint Agnes | $25 | 104% |
| Cigna | $25 | 104% |
| Meritage Brand New Day | $25 | 104% |
| Sante-Sub Cap Ma Brand New Day | $25 | 104% |
| Kaiser | $25 | 104% |
| Cares Act Provider Relief Fund | $25 | 104% |
| Healthnet HMO - Dhmso | $25 | 104% |
| Sante-Healthnet Seniority | $25 | 104% |
| Generic Victims of Crime | $25 | 104% |
| Blue Shield Sante | $25 | 104% |
| Sante Sub Cap Healthnet Seniority | $25 | 104% |
| Meritage Blue Shield 65 Plus | $25 | 104% |
| Generic Bscphp | $25 | 104% |
| Victims of Crime | $25 | 104% |
| Gemcare HMO | $25 | 104% |
| UnitedHealthcare | $25 - $26 | 104% |
| Healthnet HMO - La Salle | $25 | 104% |
| Sequoia Pace - Peak Tpa | $25 | 104% |
| Healthnet Sante | $25 | 104% |
| Sante Sub Cap-Blue Shield/Sante | $25 | 104% |
| Blue Shield Hmo-Cvmp/Medpro | $25 | 104% |
| Us Marshal | $25 | 104% |
| Medicare (plans) | $25 | 104% |
| Aetna | $25 - $100 | 104% |
| Blue Shield 65 Plus HMO First Choice | $25 | 104% |
| Advantek Table Mountain Rancheria Tribal Member | $25 | 104% |
| Brand New Day | $25 | 104% |
| Humana | $25 | 104% |
| Railroad Part A | $25 | 104% |
| Healthnet Sante - Sub Cap Dual Risk | $25 | 104% |
| Sante | $25 - $32 | 104% |
| Scan Health Plan | $25 | 104% |
| Well Path (Cfmg) | $25 | 104% |
| Railroad Part B | $25 | 104% |
| Alignment Health Plan | $28 | 116% |
| Innovative Integrated Health Community Plans HMO | $28 | 116% |
| Champion Health Plan of California Ma | $28 | 116% |
| Imperial Health Plan HMO | $29 | 121% |
| Health Plan of San Joaquin | $31 | 129% |
| Sequoia Pace | $31 | 129% |
| Correctcare Integrated Health | $33 | 137% |
| Adventist -McL Calviva Sub Cap | $34 | 141% |
| Healthnet | $40 | 166% |
| Coalinga State Hospital | $51 | 212% |
| Naphcare Inc-Mendota | $54 | 225% |