CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Highlands Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $90
  • Cash Discount Price: $492
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Highlands Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.18x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$492

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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: $492 (646%)
Insurance Median: $90 (118%)
Cash: $492 (646% of Medicare)
Ins. Median: $90 (118% 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.

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
Freedom Health $42 55%
Avmed $64 - $246 84%
Devoted Health $75 98%
Humana $75 - $197 98%
Ndms Definitive Care $75 98%
United $75 - $221 98%
Wellmed $75 98%
Blue Cross Blue Shield $76 100%
Aetna $77 - $148 101%
American Health Plan $79 104%
Prominence Healthfirst $79 104%
Sunshine State $79 - $82 104%
Cigna $80 - $173 105%
Florida Complete Care $80 105%
Centurion $82 108%
Prime Health $85 - $215 112%
Amerihealth Caritas $90 118%
Longevity Health Plan $90 118%
Molina $93 122%
Oscar $93 122%
Simply Healthcare $116 152%
Office Of Sheiff Highland Co $172 226%
United Ppo $216 284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals