CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: University of Alabama Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $268
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.52x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at University of Alabama Hospital is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.52x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$268

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%)
Insurance Median: $268 (352%)
Ins. Median: $268 (352% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 352% of the Medicare baseline (a markup of 252%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Triwest $73 96%
Viva $74 97%
University Of Alabama $98 - $242 129%
UnitedHealthcare $107 - $431 141%
Aetna $120 - $295 158%
Coventry $127 - $391 167%
North Alabama Managed Care $127 - $315 167%
Cigna $131 - $369 172%
Comp One $141 - $348 185%
Alamed $147 - $363 193%
Construction Claims Management $147 - $362 193%
Corvel $157 - $387 206%
Evolutions $157 - $436 206%
Healthcare Alliance $157 - $387 206%
Novanet $157 - $436 206%
Prime Health Services $157 - $436 206%
Select Value Care $157 - $387 206%
Starcare $157 - $387 206%
Tethys $157 - $387 206%
Multiplan $161 - $397 211%
Department Of Labor $167 - $411 219%
Geha $167 - $411 219%
Gulf Health Plans $167 - $411 219%
Heritage Summit Health $167 - $411 219%
Humana $167 - $411 219%
Mississippi Physicians $167 - $411 219%
Phifer $167 - $411 219%
Preferred Health Partnership $167 - $411 219%
Southern Nuclear $167 - $411 219%
Vantage Health Plan $167 - $411 219%
Galaxy Health Network $176 - $436 231%
National Provider Network $176 - $436 231%
North Mississippi Health Link $176 - $436 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals