CMS Price Transparency Data
Speech therapy (group session)
Facility: Menifee Global Medical Center
Billing Code: 92508 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92508
- Insurance Median: $35
- Cash Discount Price: $270
- vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Speech therapy (group session) at Menifee Global Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $24.05, this hospital’s rate is 1.46x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$270
Average discount available for prompt cash payment at this facility.
Insurance Median
$35
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: $270 (1123%)
Insurance Median: $35 (146%)
Cash: $270 (1123% of Medicare)
Ins. Median: $35 (146% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $22 - $24 | 91% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $24 | 100% |
| Aetna | $25 - $213 | 104% |
| Altamed Comm Hmo (Ancillary) | $25 - $270 | 104% |
| Altamed Health Services Senior | $25 | 104% |
| Altamed Sr/Pace | $25 | 104% |
| Blue Shield Senior | $25 | 104% |
| Central Health Plan Senior | $25 | 104% |
| Clever Care Health Plan Sr | $25 | 104% |
| For Your Benefit Senior | $25 | 104% |
| Guidant Health Plan Senior | $25 | 104% |
| Health Net Senior | $25 | 104% |
| Hpn Senior | $25 | 104% |
| Humana | $25 | 104% |
| Ic | $25 - $270 | 104% |
| Imperial Health Plan Of Ca | $25 | 104% |
| Kaiser Senior | $25 | 104% |
| Lasalle Medical Assoc (Ancillary) Commercial | $25 | 104% |
| Lasalle Medical Assoc (Ancillary) Senior | $25 | 104% |
| Managed Health Network Sr | $25 | 104% |
| Medicare (plans) | $25 | 104% |
| Neighborhood Healthcare Pace | $25 | 104% |
| Point Comfort Underwriters | $25 | 104% |
| Primecare Senior | $25 | 104% |
| Prospect Health Plan Sr Hmo | $25 | 104% |
| Scan Senior | $25 | 104% |
| Self Pay/Ab774/Charity Discount | $25 | 104% |
| Sr Capitation | $25 | 104% |
| UnitedHealthcare | $25 - $117 | 104% |
| Veterans Administration | $25 | 104% |
| Align Senior Care | $28 | 116% |
| Welbehealth Sr/Pace | $28 | 116% |
| Prime Health Services Senior | $29 | 121% |
| Health Net Medi-Cal | $30 | 125% |
| Kaiser Medi-Cal | $30 | 125% |
| Prospect Health Plan Mcal Hmo | $30 | 125% |
| Blue Cross Blue Shield | $31 | 129% |
| Molina Covered Ca | $31 | 129% |
| Iehp Covered Ca | $32 | 133% |
| Coventry | $34 - $36 | 141% |
| Prime Health Services Wcomp | $34 | 141% |
| Prospect Health Plan Comm Hmo | $34 | 141% |
| Molina Medi-Cal | $35 | 146% |
| Health Net Enhanced Ppo | $36 | 150% |
| Hpn Commercial/Covered Ca | $36 | 150% |
| Three Rivers Wcomp | $37 | 154% |
| Health Net Comm | $38 | 158% |
| Workers Comp Non-Contracted | $38 | 158% |
| Altamed Mcal Hmo | $41 | 170% |
| Altamed Mcal/Pace | $41 | 170% |
| Hpn Mcal | $41 | 170% |
| Iehp Medi-Cal | $44 | 183% |
| Three Rivers Network | $44 | 183% |
| Velocity | $44 - $122 | 183% |
| Blue Shield Epn | $71 | 295% |
| Blue Shield Commercial | $84 | 349% |
| First Health Commercial | $142 | 590% |
| Choice Physicians Network | $175 | 728% |
| Primecare Commercial | $176 | 732% |
| Multiplan Ppo | $189 | 786% |
| Multiplan Wcomp | $189 | 786% |
| Cigna | $216 - $315 | 898% |
| Pnoa-Provider Network Of America | $216 | 898% |
| Prime Health Services Commercial | $216 | 898% |
| Ava Hospice | $270 | 1123% |
| Kaiser Commercial | $270 | 1123% |
| Living Waters Hospice | $270 | 1123% |
| Managed Health Network | $270 | 1123% |
| Other Insurance Loa | $270 | 1123% |
| Pacific Valley Hospice | $270 | 1123% |
| Private Pay | $270 | 1123% |
| Silverado Hospice | $270 | 1123% |
| Vna Hospice | $270 | 1123% |