CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: University of Miami Hospital and Clinics

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $301
Cash Discount Price: $131
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at University of Miami Hospital and Clinics is $301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.95x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$301

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: $131 (172%)

Insurance Median: $301 (395%)

Cash: $131 (172% of Medicare)

Ins. Median: $301 (395% 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 395% of the Medicare baseline (a markup of 295%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Careplus	$118 - $175	155%
Sunshine Health	$118 - $175	155%
Molina Healthcare Of Fl	$128 - $189	168%
Amerihealth Caritas Fl	$133 - $196	175%
Oscar Health Of Fl	$133 - $196	175%
Blue Cross Blue Shield	$145 - $884	190%
Aetna	$165 - $384	217%
UnitedHealthcare	$171 - $361	225%
Cigna	$175 - $304	230%
Curative	$251 - $371	330%
Avmed	$276 - $455	362%
Employers Health Network	$284 - $420	373%
Simply Healthcare	$284 - $420	373%
First Health	$308 - $455	404%
Health First New York Health Insurance	$308 - $455	404%
Broward Health	$332 - $490	436%
Beech Street	$379 - $560	498%
Dimension Health	$379 - $560	498%
Multiplan	$379 - $560	498%

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 $131.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Miami Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
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.