CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Children's Hosp of Los Angeles
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $34
- Cash Discount Price: $51
- vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Children's Hosp of Los Angeles is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.45x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$51
Average discount available for prompt cash payment at this facility.
Insurance Median
$34
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: $51 (67%)
Insurance Median: $34 (45%)
Cash: $51 (67% of Medicare)
Ins. Median: $34 (45% 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 |
|---|---|---|
| Inland Empire Health Plan | $8 - $71 | 11% |
| Medi-Cal | $8 - $34 | 11% |
| Molina | $8 - $71 | 11% |
| Incentive Health Network | $9 - $28 | 12% |
| Beech Street | $9 - $28 | 12% |
| Non-Contract Payors | $9 - $28 | 12% |
| Health Net | $10 - $89 | 13% |
| Emanate Health Medical Center Mmc | $10 - $32 | 13% |
| St. John's Health Clinic | $11 - $100 | 14% |
| Cigna | $11 - $33 | 14% |
| Kaiser | $11 - $40 | 14% |
| Axminster Medical Group | $11 - $100 | 14% |
| Facey Medical Group | $11 - $100 | 14% |
| Citrus Valley Phys Grp | $12 - $46 | 16% |
| Aetna | $12 - $39 | 16% |
| Book Md | $12 - $37 | 16% |
| Pioneer Prov Ntwk | $12 - $36 | 16% |
| Sansum Clinic | $12 - $36 | 16% |
| Gemcare IPA | $12 - $36 | 16% |
| Medicaid / KanCare | $12 - $71 | 16% |
| Applecare Medical Group | $12 - $195 | 16% |
| Good Samaritan Medical Group | $12 - $38 | 16% |
| UnitedHealthcare | $12 - $202 | 16% |
| Managed Care Systems | $12 - $36 | 16% |
| Staywell Insurance | $12 - $36 | 16% |
| Blue Shield | $12 - $71 | 16% |
| La Care | $12 - $71 | 16% |
| Accarent Health | $12 - $36 | 16% |
| Altamed | $12 - $71 | 16% |
| Exceptional Care Medical Group | $12 - $223 | 16% |
| Mercy Care | $12 - $36 | 16% |
| Community Care | $13 - $39 | 17% |
| Intl - Quality Health Management | $13 - $71 | 17% |
| Centinela Valley IPA | $13 - $108 | 17% |
| Choice Medical Group | $13 - $39 | 17% |
| Bella Vista Med Grp | $13 - $108 | 17% |
| Premier Physicians Ntwk | $13 - $108 | 17% |
| Intl - Global Medical Management | $13 - $39 | 17% |
| National Healthcare Solutions | $13 - $39 | 17% |
| Health Care La IPA | $13 - $108 | 17% |
| Culinary Health Fund | $13 - $71 | 17% |
| Intl - Global Excel Management | $13 - $142 | 17% |
| Global Care Medical Group | $13 - $108 | 17% |
| Blue Cross Blue Shield | $13 - $448 | 17% |
| Delta Health Systems | $14 - $43 | 18% |
| Access Medical Group | $14 - $42 | 18% |
| Emanate Health Medical Center Commercial | $14 - $43 | 18% |
| Self-Pay | $14 - $43 | 18% |
| Alhambra Hospital Medical Center | $14 - $71 | 18% |
| Allied Pacific IPA | $14 - $71 | 18% |
| Los Angeles Medical Center IPA | $14 - $71 | 18% |
| Providence Health Network | $14 - $173 | 18% |
| Preferred IPA - Commercial | $14 - $43 | 18% |
| Heritage Provider Network | $14 - $71 | 18% |
| Private Hlthcare System | $14 - $43 | 18% |
| Sanus Health | $14 - $43 | 18% |
| Ventura County Health Plan | $14 - $251 | 18% |
| Bright Medical Associates | $14 - $43 | 18% |
| Sierra Health and Life Insurance Company | $14 - $44 | 18% |
| Seoul Medical Group | $14 - $42 | 18% |
| Family Care Specialists | $14 - $170 | 18% |
| Seaside Health Plan | $15 - $71 | 20% |
| Embassy - Saudi Arabia | $15 - $46 | 20% |
| Redlands Community Hospital | $15 - $46 | 20% |
| Star Healthcare Network Commercial | $15 - $46 | 20% |
| Shriners Hospital | $15 - $21 | 20% |
| Axis Services International | $15 - $46 | 20% |
| Serra Community Med Clinic - Commercial | $15 - $46 | 20% |
| Prime Health Services | $15 - $46 | 20% |
| Marian Health Services | $15 - $46 | 20% |
| Imperial Health Holdings Medical Group | $15 - $71 | 20% |
| Intl - Msh China Enterprise Services | $15 - $46 | 20% |
| Intl - Aixin Life Insurance Co | $15 - $71 | 20% |
| Cedar Sinai Med Grp | $15 - $46 | 20% |
| Plotkin Health | $15 - $46 | 20% |
| Intl - Concierge Healthcare Services | $15 - $46 | 20% |
| Lakewood Health Plan | $15 - $46 | 20% |
| Intl - Erv Travel Services | $15 - $50 | 20% |
| Calvo Selectcare | $15 - $46 | 20% |
| Primecare Medical Network | $16 - $50 | 21% |
| Memorialcare Med Foundation | $16 - $50 | 21% |
| Multiplan | $16 - $50 | 21% |
| Beaver Medical Group | $16 - $50 | 21% |
| Korean American Med Grp | $16 - $50 | 21% |
| Angeles IPA | $16 - $71 | 21% |
| Prospect Medical Group | $17 - $53 | 22% |
| Embassy - Kuwait | $17 - $53 | 22% |
| Associated Hispanic Physicians IPA | $17 - $71 | 22% |
| Interlink Health Services | $17 - $53 | 22% |
| Hispanic Physician IPA | $17 - $71 | 22% |
| Self-Pay International | $18 - $57 | 24% |
| Embassy - All Others | $18 - $57 | 24% |
| Champus | $22 - $69 | 29% |
| Serra Community Med Clinic | $23 - $71 | 30% |
| Medicare (plans) | $23 - $70 | 30% |
| Community Care IPA Mmc | $23 - $167 | 30% |
| Pacific Alliance Medical Center | $23 - $71 | 30% |
| Point Comfort Underwriters | $23 - $71 | 30% |
| Southland San Gabriel Valley Medical Group | $23 - $238 | 30% |
| Southern Atlantic Medical Group Mmc | $23 - $96 | 30% |
| Adventist Health Physicians | $23 - $128 | 30% |
| San Judas Med Grp | $23 - $71 | 30% |
| Choc Health Alliance | $23 - $53 | 30% |
| Mabuhay Medical Group | $23 - $166 | 30% |
| Caloptima | $23 - $71 | 30% |
| Preferred IPA | $23 - $71 | 30% |
| Family Health Alliance Med Grp | $23 - $174 | 30% |
| Serendib Healthways Mmc | $23 - $150 | 30% |
| Superior Choice Medical Group | $23 - $248 | 30% |
| Avalon IPA | $23 - $166 | 30% |
| Valley Presbyterian Hospital | $23 - $71 | 30% |
| Watts Healthcare Mmc | $23 - $108 | 30% |
| Karing Physicians Medical Group | $23 - $178 | 30% |
| California Pacific Physicians Medical Group | $23 - $208 | 30% |
| Noble Community Medical Associates | $23 - $178 | 30% |
| Cal Care IPA | $23 - $71 | 30% |
| Hollywood Presbyterian Medical Center | $23 - $71 | 30% |
| Dignity Health | $23 - $71 | 30% |
| White Memorial Medical Center | $23 - $71 | 30% |
| Cencal Health | $23 - $71 | 30% |
| Accountable Health | $23 - $142 | 30% |
| Asian Community Medical Group | $23 - $208 | 30% |
| Crown City Medical Group | $23 - $71 | 30% |
| Healthy New Life Medical Corp | $23 - $208 | 30% |
| Care 1St | $23 - $71 | 30% |
| Souther California Hosp System - Mmc | $23 - $71 | 30% |
| El Proyecto Del Barrio | $23 - $108 | 30% |
| Community Family Care IPA | $23 - $71 | 30% |
| Employee Health Systems Med Grp | $23 - $71 | 30% |
| Beverly Hospital | $23 - $71 | 30% |
| Primary Care and Pediatric IPA | $23 - $166 | 30% |
| Regent Medical Group | $23 - $178 | 30% |
| Gold Coast Health Plan | $23 - $71 | 30% |
| St Francis Medical Center | $23 - $71 | 30% |
| Kern Family Health Plan | $23 - $71 | 30% |