CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Banner Desert Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $196
Cash Discount Price: $102
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Banner Desert Medical Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.57x the Medicare baseline. Located in 1400 South Dobson Road, Mesa, AZ.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $102 (134%)

Insurance Median: $196 (257%)

Cash: $102 (134% of Medicare)

Ins. Median: $196 (257% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 257% of the Medicare baseline (a markup of 157%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$78 - $226	102%
Arizona Physicians Ipa	$82	108%
Health Net	$82 - $211	108%
Mercy Care	$82	108%
Health Choice Arizona, Inc.	$117 - $196	154%
Hospice Of The Valley	$137	180%
Arizona Priority Care	$156	205%
Blue Cross Blue Shield	$157 - $210	206%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$176	231%
Plotkin Health	$176	231%
Oscar Health Plan	$196	257%
Cigna	$203 - $225	267%
Quiktrip Corporation	$211	277%
UnitedHealthcare	$241 - $265	316%
Arizona Medical Network	$274	360%
Provider Network Of America	$293	385%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $102.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Banner Desert Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.