CMS Price Transparency Data

Speech therapy (group session)

Facility: Paradise Valley Hospital

Billing Code: 92508 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92508
Insurance Median: $27
Cash Discount Price: $26
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Speech therapy (group session) at Paradise Valley Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.12x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.

Cash / Self-Pay

$26

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $26 (108%)

Insurance Median: $27 (112%)

Cash: $26 (108% of Medicare)

Ins. Median: $27 (112% 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.

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	$4 - $34	17%
Blue Sheid Of Promise	$4	17%
Community Health Group	$4 - $27	17%
County Of San Diego	$4	17%
Golden Physicians Medical Group	$4 - $33	17%
Health Excel Ins	$4 - $27	17%
Health Net Of Ca	$4 - $39	17%
Heritage Provider Netwrok	$4 - $35	17%
Molina	$4 - $27	17%
Traditional Medi-Cal	$4	17%
UnitedHealthcare	$4 - $27	17%
Blue Shield Of Ca, Va	$27	112%
Brand New Day	$27 - $40	112%
Ca Foundation For Medical Care	$27	112%
Central Health	$27	112%
Choice Physicians Network	$27	112%
Clever Care Of Golden State, Inc	$27	112%
Managed Health Network	$27	112%
Medicare (plans)	$27	112%
Renal Payer Solutions	$27	112%
Tricare	$27	112%
Usa Senior Care Network	$27	112%
Verda Health Plan	$27	112%
Imperial Health Plan Of Ca	$28	116%
Health Net Federal Service (Cdcr)	$33	137%
Veterans Evaluation Services	$33	137%
Integrated Medical Solutions	$35	146%
Worker Comp	$35	146%
Ca Dept Of Correction & Rehab	$37	154%
Employer Direct Healthcare	$37	154%
Naphcare	$41 - $53	170%
Scripps Health	$45	187%

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 $26.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92508.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Paradise Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92508.
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.