CMS Price Transparency Data

Speech therapy (group session)

Facility: Flagstaff Medical Center

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $45
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Flagstaff Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.87x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$163

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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%)
Cash / Self-Pay: $163 (678%)
Insurance Median: $45 (187%)
Cash: $163 (678% of Medicare)
Ins. Median: $45 (187% 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
Aetna $23 - $277 96%
Fmc 30/70 $23 96%
Health Choice $23 - $45 96%
Health Net Federal $23 96%
Humana $23 - $309 96%
Medicare (plans) $23 96%
Mercy Care Advantage $23 96%
Rehabilitation Hospital Of Northern Arizona $23 96%
Snf Fmc $23 96%
UnitedHealthcare $23 - $301 96%
University Of Arizona Health Plans $23 - $46 96%
Wellcare $23 96%
Wellcare By Allwell $23 96%
Devoted $24 - $26 100%
Fmc Ihs $24 100%
Va Pccc Triwest $24 100%
Ambetter / Centene $27 112%
Pnoa $35 146%
Naphcare $41 - $47 170%
Carefirst $42 175%
Mercy Care Rhba $42 175%
Ahcccs $45 187%
Ahcccs Other $45 187%
Fmc Jail $45 187%
Health Choice Arizona $45 187%
Health Choice Integrated Care $45 187%
Health Net Of Arizona $45 187%
Mercy Care $45 187%
Nhi Out Of State Ahcccs $45 187%
Self Pay $163 - $326 678%
Self-Pay 50% Discount $163 678%
Blue Cross Blue Shield $191 - $239 794%
Workers Comp $212 881%
Copperpoint $239 994%
Nau Athletic Department $260 1081%
Cigna $293 1218%
Fmc 90/10 $293 1218%
Rural Arizona Network Multiplan $293 1218%
United Behavioral Health $326 1356%
Auto Insurance $5,000 20790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals