CMS Price Transparency Data

Speech therapy (group session)

Facility: Northwest Medical Center Sahuarita

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92508
  • Insurance Median: $26
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Northwest Medical Center Sahuarita is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.08x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $52 (216%)
Insurance Median: $26 (108%)
Cash: $52 (216% of Medicare)
Ins. Median: $26 (108% 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 - $166 96%
Blue Cross Blue Shield $23 - $89 96%
Cigna $23 - $241 96%
Department Of Veterans Affairs $23 96%
Humana $23 96%
Medicare (plans) $23 96%
Mercy Care $23 - $26 96%
Node Caremore Mcr Adv $23 96%
Node Champva $23 96%
Node Mercy Care Mcr Adv $23 96%
Tricare $23 96%
UnitedHealthcare $23 - $185 96%
Banner Mcr Adv $24 100%
Node Banner Mcr Adv $24 100%
Node Clover Health Mcr Adv $24 100%
Node Devoted Health Mcr Adv $24 100%
Node Non Par Hospice Agree $24 100%
Node Triwest $24 100%
Node Va $24 100%
Node Wellcare Mcr Adv $24 100%
Medicaid / KanCare $26 - $28 108%
Ambetter / Centene $33 137%
Self Pay $33 - $71 137%
Node Health Choice Health Exchange $35 146%
Node Us Dept Of Labor $35 146%
Node Fusion Network $42 175%
Node J Allen Inmate Health Svcs $45 187%
Coventry Work Comp Al $110 457%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals