CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Verde Valley Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $139
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Verde Valley Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.83x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $247 (324%)
Insurance Median: $139 (183%)
Cash: $247 (324% of Medicare)
Ins. Median: $139 (183% 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.

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
Ahcccs Other $57 - $70 75%
Care 1St $57 - $70 75%
Health Choice $57 - $144 75%
Health Choice Arizona $57 - $70 75%
Health Net Of Arizona $57 - $70 75%
Mercy Care $57 - $70 75%
Nhi Out Of State Ahcccs $57 - $70 75%
UnitedHealthcare $57 - $501 75%
University Of Arizona Health Plans $57 - $81 75%
Vvmc Jail $57 - $70 75%
Mercy Care Rhba $58 - $70 76%
Ahcccs $62 - $75 81%
Aetna $74 - $469 97%
Community Health Center Of Yavapai $74 97%
Health Net Federal $74 97%
Humana $74 97%
Medicare (plans) $74 97%
Mercy Care Advantage $74 97%
Snf Vvmc $74 97%
Vvmc 30/70 $74 97%
Wellcare $74 97%
Wellcare By Allwell $74 97%
Va Pccc Triwest $75 98%
Devoted $78 - $81 102%
Ambetter / Centene $85 112%
Gold Kidney $89 117%
Health Choice Integrated Care $100 - $121 131%
Pnoa-Provider Network Of America $113 148%
Naphcare $131 - $150 172%
Self Pay $223 - $541 293%
Self-Pay 50% Discount $223 - $271 293%
Blue Cross Blue Shield $260 - $394 341%
Workers Comp $290 - $352 381%
Copperpoint $325 - $394 427%
Cigna $402 - $487 528%
Vvmc 90/10 $402 - $487 528%
Auto Insurance $5,000 6566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals