CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Banner Payson Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $83
Cash Discount Price: $91
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Banner Payson Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.09x the Medicare baseline. Located in 807 South Ponderosa Drive, Payson, AZ.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $91 (120%)

Insurance Median: $83 (109%)

Cash: $91 (120% of Medicare)

Ins. Median: $83 (109% 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.

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
Arizona Physicians Ipa	$44 - $76	58%
Health Net	$44 - $112	58%
Mercy Care	$44 - $76	58%
Aetna	$76 - $122	100%
Banner Health	$76	100%
Banner University Health Plan	$76	100%
Blue Cross Blue Shield	$76 - $217	100%
Care 1St	$76	100%
Cigna	$76 - $147	100%
Gila River Health Care Corporation	$76	100%
Health Choice Arizona, Inc.	$76 - $108	100%
Kaiser Foundation Health Plan	$76	100%
Triwest Healthcare Alliance Corp - Va Ccn	$76	100%
UnitedHealthcare	$76 - $124	100%
Upmc Health Plan	$76	100%
Wellpoint	$76	100%
Carelon	$80	105%
Humana	$80	105%
Arizona Priority Care	$83	109%
Devoted Health Services	$83	109%
Gold Kidney Health Plan	$83	109%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi)	$83	109%
Plotkin Health	$83	109%
Oscar Health Plan	$125	164%
Quiktrip Corporation	$130	171%
Arizona Medical Network	$166	218%
Provider Network Of America	$166	218%

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 $91.
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 Payson 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.