Speech therapy (group session)
Facility: Verde Valley Medical Center
Billing Code: 92508 (CPT)
- CPT Billing Code: 92508
- Insurance Median: $87
- Cash Discount Price: $168
- vs. Medicare Baseline: 3.62x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 362% of the Medicare baseline (a markup of 262%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $23 - $314 | 96% |
| Community Health Center Of Yavapai | $23 | 96% |
| Health Choice | $23 - $47 | 96% |
| Health Net Federal | $23 | 96% |
| Humana | $23 | 96% |
| Medicare (plans) | $23 | 96% |
| Mercy Care Advantage | $23 | 96% |
| Snf Vvmc | $23 | 96% |
| UnitedHealthcare | $23 - $335 | 96% |
| University Of Arizona Health Plans | $23 - $47 | 96% |
| Vvmc 30/70 | $23 | 96% |
| Wellcare | $23 | 96% |
| Wellcare By Allwell | $23 | 96% |
| Devoted | $24 - $26 | 100% |
| Va Pccc Triwest | $24 | 100% |
| Ambetter / Centene | $27 | 112% |
| Gold Kidney | $28 | 116% |
| Pnoa-Provider Network Of America | $35 | 146% |
| Ahcccs Other | $40 - $47 | 166% |
| Care 1St | $40 - $47 | 166% |
| Health Choice Arizona | $40 - $47 | 166% |
| Health Net Of Arizona | $40 - $47 | 166% |
| Mercy Care | $40 - $47 | 166% |
| Mercy Care Rhba | $40 - $47 | 166% |
| Nhi Out Of State Ahcccs | $40 - $47 | 166% |
| Vvmc Jail | $40 - $47 | 166% |
| Naphcare | $41 - $47 | 170% |
| Ahcccs | $43 - $50 | 179% |
| Health Choice Integrated Care | $69 - $81 | 287% |
| Self Pay | $155 - $362 | 644% |
| Self-Pay 50% Discount | $155 - $181 | 644% |
| Blue Cross Blue Shield | $180 - $264 | 748% |
| Workers Comp | $201 - $236 | 836% |
| Copperpoint | $225 - $264 | 936% |
| Cigna | $278 - $326 | 1156% |
| Vvmc 90/10 | $278 - $326 | 1156% |
| Auto Insurance | $5,000 | 20790% |