CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Clovis Community Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $80
- Cash Discount Price: $367
- vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Clovis Community Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.05x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$367
Average discount available for prompt cash payment at this facility.
Insurance Median
$80
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$76.15
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $76.15 (100%)
Cash / Self-Pay: $367 (482%)
Insurance Median: $80 (105%)
Cash: $367 (482% of Medicare)
Ins. Median: $80 (105% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $76.15 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.
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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 |
|---|---|---|
| Medi-Cal Kern Family Health | $56 | 74% |
| Medi-Cal Alameda Alliance for Health | $56 | 74% |
| Medi-Cal California Health & Wellness Plan | $56 | 74% |
| Medi-Cal Partnership Health Plan of Ca | $56 | 74% |
| Santa Clara Family Health Plan - Valley Health | $56 | 74% |
| Medi-Cal Health Plan of San Mateo | $56 | 74% |
| Blue Cross Blue Shield | $56 - $292 | 74% |
| Fresno County Funded Specialty Care | $56 | 74% |
| Ccs Mariposa | $56 | 74% |
| Medi-Cal Cencal Health | $56 | 74% |
| Genetically Handicapped Person | $56 | 74% |
| Ccs Tulare | $56 | 74% |
| Medi-Cal La Care Health | $56 | 74% |
| San Francisco Health Plan Medi-Cal | $56 | 74% |
| Ccs Stanislaus | $56 | 74% |
| Generic Ccs Other Counties | $56 | 74% |
| Ccs Fresno | $56 | 74% |
| Medi-Cal Blue Shield Promise Health | $56 | 74% |
| Ccs Kern | $56 | 74% |
| Blue Shield | $56 - $285 | 74% |
| Ccs Kings | $56 | 74% |
| Medi-Cal Community Health Group | $56 | 74% |
| Chdp | $56 | 74% |
| Ccs Madera/Sacramento | $56 | 74% |
| Generic Care Out of County | $56 | 74% |
| Medi-Cal Molina | $56 | 74% |
| Cal Caloptima | $56 | 74% |
| Medi-Cal Inland Empire Health | $56 | 74% |
| Medi-Cal Contra Costa Health Plan | $56 | 74% |
| Ccs Merced | $56 | 74% |
| Santa Clara Family Health Plan - Premier Health | $56 | 74% |
| Gold Coast Medi-Cal | $56 | 74% |
| Wellcare | $80 | 105% |
| Cares Act Provider Relief Fund | $80 | 105% |
| Sante-Sub Cap Ma Brand New Day | $80 | 105% |
| Blue Shield Saint Agnes | $80 | 105% |
| Humana | $80 - $390 | 105% |
| Meritage Blue Shield 65 Plus | $80 | 105% |
| Generic | $80 | 105% |
| Bscphp HMO - First Choice | $80 | 105% |
| Railroad Part A & B | $80 | 105% |
| Advantek Table Mountain Rancheria Tribal Member | $80 | 105% |
| Railroad Part B | $80 | 105% |
| Sante Sub Cap Healthnet Seniority | $80 | 105% |
| Kaiser | $80 | 105% |
| Medi-Cal Innovative Integrated Health | $80 | 105% |
| Meritage Brand New Day | $80 | 105% |
| Healthnet Sante | $80 | 105% |
| Blue Shield Sante | $80 | 105% |
| UnitedHealthcare | $80 - $590 | 105% |
| Medicare (plans) | $80 | 105% |
| Scan Health Plan | $80 | 105% |
| Brand New Day | $80 | 105% |
| Healthnet HMO - Sante | $80 | 105% |
| Sante Sub Cap-Blue Shield/Sante | $80 | 105% |
| Cigna | $80 - $419 | 105% |
| Us Marshal | $80 | 105% |
| Aetna | $80 - $302 | 105% |
| Meritage Healthnet HMO | $80 | 105% |
| Bscphp - First Choice | $80 | 105% |
| Sante-Healthnet Seniority | $80 | 105% |
| Blue Shield 65 Plus HMO Ehs | $80 | 105% |
| Healthnet Sante - Sub Cap Dual Risk | $80 | 105% |
| Blue Shield Hmo-Cvmp/Medpro | $80 | 105% |
| Victims of Crime | $80 | 105% |
| Railroad Part A | $80 | 105% |
| Healthnet HMO - Cvmp/Medpro | $80 | 105% |
| Healthnet Sante Dual Risk | $80 | 105% |
| Generic Victims of Crime | $80 | 105% |
| Healthnet HMO - La Salle | $80 | 105% |
| Sante | $80 - $87 | 105% |
| Todays Pyramid | $80 | 105% |
| Blue Shield 65 Plus HMO First Choice | $80 | 105% |
| Well Path (Cfmg) | $80 - $505 | 105% |
| Sequoia Pace - Peak Tpa | $80 | 105% |
| Gemcare HMO | $80 | 105% |
| Bscphp - Dhmso | $80 | 105% |
| Generic Bscphp | $80 | 105% |
| Hartford Life Supplement | $80 | 105% |
| Sante-Blue Shield/Sante | $80 | 105% |
| Care1St HMO - Ehs | $80 | 105% |
| Healthnet HMO - Dhmso | $80 | 105% |
| Blue Shield Promise - Imperial | $80 | 105% |
| Sequoia Pace | $85 | 112% |
| Health Plan of San Joaquin | $85 | 112% |
| Champion Health Plan of California Ma | $88 | 116% |
| Alignment Health Plan | $88 | 116% |
| Innovative Integrated Health Community Plans HMO | $88 | 116% |
| Imperial Health Plan HMO | $92 | 121% |
| Adventist -McL Calviva Sub Cap | $93 | 122% |
| Correctcare Integrated Health | $104 | 137% |
| Healthnet | $109 - $269 | 143% |
| Central Valley Medical Providers | $115 - $321 | 151% |
| Community Care | $117 | 154% |
| Coalinga State Hospital | $160 | 210% |
| Naphcare Inc-Mendota | $172 | 226% |
| Employer 90/40 | $184 | 242% |
| Central Ca Indian Health | $252 | 331% |
| Nx Health Network PPO | $252 | 331% |
| Physmetrics Health | $285 | 374% |
| Healthsmart | $312 - $367 | 410% |
| Coventry Health Care (First Health Network) | $344 | 452% |
| Network By Design | $344 | 452% |
| PHCS | $390 | 512% |
| Generic Multiplan | $390 | 512% |