CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Menifee Global Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $80
- Cash Discount Price: $540
- vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Menifee Global Medical Center is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.05x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$540
Average discount available for prompt cash payment at this facility.
Insurance Median
$80
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: $540 (709%)
Insurance Median: $80 (105%)
Cash: $540 (709% of Medicare)
Ins. Median: $80 (105% 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
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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 |
|---|---|---|
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $35 | 46% |
| Health Net Medi-Cal | $43 | 56% |
| Ic | $43 - $540 | 56% |
| Kaiser Medi-Cal | $43 | 56% |
| Prospect Health Plan Mcal Hmo | $44 | 58% |
| Blue Cross Blue Shield | $45 | 59% |
| Molina Medi-Cal | $50 | 66% |
| Coventry | $59 - $61 | 77% |
| Prime Health Services Wcomp | $59 | 77% |
| Altamed Mcal Hmo | $60 | 79% |
| Altamed Mcal/Pace | $60 | 79% |
| Hpn Mcal | $60 | 79% |
| Iehp Medi-Cal | $64 | 84% |
| Three Rivers Wcomp | $64 | 84% |
| Workers Comp Non-Contracted | $65 | 85% |
| Tricare | $68 - $74 | 89% |
| Aetna | $80 - $213 | 105% |
| Altamed Comm Hmo (Ancillary) | $80 - $540 | 105% |
| Altamed Health Services Senior | $80 | 105% |
| Altamed Sr/Pace | $80 | 105% |
| Blue Shield Senior | $80 | 105% |
| Central Health Plan Senior | $80 | 105% |
| Clever Care Health Plan Sr | $80 | 105% |
| For Your Benefit Senior | $80 | 105% |
| Guidant Health Plan Senior | $80 | 105% |
| Health Net Senior | $80 | 105% |
| Hpn Senior | $80 | 105% |
| Humana | $80 | 105% |
| Imperial Health Plan Of Ca | $80 | 105% |
| Kaiser Senior | $80 | 105% |
| Lasalle Medical Assoc (Ancillary) Commercial | $80 | 105% |
| Lasalle Medical Assoc (Ancillary) Senior | $80 | 105% |
| Managed Health Network Sr | $80 | 105% |
| Medicare (plans) | $80 | 105% |
| Neighborhood Healthcare Pace | $80 | 105% |
| Point Comfort Underwriters | $80 | 105% |
| Primecare Senior | $80 | 105% |
| Prospect Health Plan Sr Hmo | $80 | 105% |
| Scan Senior | $80 | 105% |
| Self Pay/Ab774/Charity Discount | $80 | 105% |
| Sr Capitation | $80 | 105% |
| UnitedHealthcare | $80 - $117 | 105% |
| Veterans Administration | $80 | 105% |
| Align Senior Care | $90 | 118% |
| Welbehealth Sr/Pace | $90 | 118% |
| Prime Health Services Senior | $92 | 121% |
| Iehp Covered Ca | $100 | 131% |
| Molina Covered Ca | $102 | 134% |
| Prospect Health Plan Comm Hmo | $108 | 142% |
| Health Net Enhanced Ppo | $112 | 147% |
| Hpn Commercial/Covered Ca | $112 | 147% |
| Health Net Comm | $120 | 158% |
| Three Rivers Network | $140 | 184% |
| Velocity | $140 - $243 | 184% |
| Choice Physicians Network | $175 | 230% |
| Blue Shield Epn | $225 | 295% |
| Blue Shield Commercial | $265 | 348% |
| First Health Commercial | $284 | 373% |
| Cigna | $315 - $432 | 414% |
| Primecare Commercial | $351 | 461% |
| Multiplan Ppo | $378 | 496% |
| Multiplan Wcomp | $378 | 496% |
| Pnoa-Provider Network Of America | $432 | 567% |
| Prime Health Services Commercial | $432 | 567% |
| Ava Hospice | $540 | 709% |
| Kaiser Commercial | $540 | 709% |
| Living Waters Hospice | $540 | 709% |
| Managed Health Network | $540 | 709% |
| Other Insurance Loa | $540 | 709% |
| Pacific Valley Hospice | $540 | 709% |
| Private Pay | $540 | 709% |
| Silverado Hospice | $540 | 709% |
| Vna Hospice | $540 | 709% |