CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $111
Cash Discount Price: $331
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Cleveland Clinic Indian River Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.46x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$331

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $331 (435%)

Insurance Median: $111 (146%)

Cash: $331 (435% of Medicare)

Ins. Median: $111 (146% 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.

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
Aetna	$59 - $438	77%
Blue Cross Blue Shield	$68 - $328	89%
Avmed	$76 - $170	100%
Careplus	$76 - $98	100%
Magellan	$76 - $329	100%
United	$76 - $223	100%
Value Options	$76	100%
Wellcare	$76 - $180	100%
Freedom Health	$80 - $98	105%
Independent Living Systems	$80 - $216	105%
Wellmed	$80 - $98	105%
Clear Spring Health	$82 - $106	108%
Cigna	$93 - $236	122%
Carelon Bh Strategies	$98 - $180	129%
Humana	$98	129%
Devoted Health	$108	142%
UnitedHealthcare	$171	225%
Amerihealth	$180	236%
Medicaid / KanCare	$180	236%
Molina	$180	236%
Sunshine Health	$180	236%
Bmi	$301	395%
Clarity Health	$305 - $356	401%
The Legacy Companies	$305 - $356	401%
National Provider Network	$328	431%
Three Rivers	$328	431%
Consociate Health	$352	462%
Multiplan	$438	575%

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 $331.
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 Cleveland Clinic Indian River Hospital 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.