CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $153
Cash Discount Price: $731
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Pasadena Hospital A Part of HCA Florid is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.01x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$731

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $731 (960%)

Insurance Median: $153 (201%)

Cash: $731 (960% of Medicare)

Ins. Median: $153 (201% 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 201% of the Medicare baseline (a markup of 101%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$29 - $40	38%
Blue Cross Blue Shield	$29 - $41	38%
Aetna	$42 - $255	55%
Access 2 Healthcare Physicians Freedom Health	$44 - $61	58%
Access 2 Healthcare Physicians Optimum	$44 - $61	58%
Freedom Health Care	$48 - $66	63%
Optimum Healthcare	$48 - $66	63%
Avmed	$49 - $213	64%
Humana	$71 - $238	93%
Simply Healthcare	$78 - $131	102%
Corvel Corporation	$84 - $233	110%
Rockport Healthcare Group	$84 - $233	110%
Prime Health	$85 - $238	112%
Oscar	$92 - $128	121%
United	$100 - $383	131%
Cigna	$110 - $153	144%
Molina	$116 - $230	152%
Evolutions Healthcare Systems	$141 - $783	185%
Sunshine State Health Plan	$156 - $217	205%
Plotkin Health	$306 - $426	402%
Prime Health Sheriff	$306 - $426	402%
Multiplan	$458 - $723	601%

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 $731.
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 HCA Florida Pasadena Hospital A Part of HCA Florid 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.