CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Aventura Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $136
  • Cash Discount Price: $1,028
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Aventura Hospital is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,028. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.79x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$1,028

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $1,028 (1350%)
Insurance Median: $136 (179%)
Cash: $1,028 (1350% of Medicare)
Ins. Median: $136 (179% 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
Humana $75 - $350 98%
Careplus Sfl $78 102%
Cigna $78 - $216 102%
Devoted Health $78 102%
Leon Health $78 102%
Ndms Definitive Care $78 102%
United $78 - $463 102%
United Behavioral Health $78 102%
Veterans Evaluation Services $78 102%
Wellmed $78 102%
Aetna $80 - $308 105%
Blue Cross Blue Shield $80 105%
Oscar $82 - $164 108%
Prominence Healthfirst $82 108%
Sunshine State $82 - $86 108%
Align $83 109%
American Health Plan $83 109%
Florida Complete Care $83 109%
Avmed $84 - $514 110%
Centurion $86 113%
Doctors Healthcare Plan $86 113%
Gold Kidney $87 114%
Corvel Corporation $88 - $250 116%
Freedom Health $88 - $164 116%
Optimum $88 116%
Careworks (Rockport) $90 - $255 118%
Prime Health $90 - $255 118%
Amerihealth Caritas $94 - $175 123%
Longevity Health Plan $94 123%
Solis Health Plan $113 148%
Simply Healthcare Plans $134 176%
Simply Healthcare $139 183%
Molina $175 - $278 230%
Health Sun Health Plan $219 288%
Aids Healthcare $226 - $1,234 297%
Mmm Of Fl (Health Advantage Plan) $236 310%
United Ppo $244 320%
Sunshine State Health Plan $267 351%
Plotkin Health $514 675%
Prime Health Sherriff $514 675%
Medica Healthcare $596 783%
Multiplan $771 - $874 1012%
Evernorth Bh $822 1079%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals