CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $105
  • Cash Discount Price: $852
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $852. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.38x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$852

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $852 (1119%)
Insurance Median: $105 (138%)
Cash: $852 (1119% of Medicare)
Ins. Median: $105 (138% 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
Hospice Community $60 79%
Hospice Haven $67 88%
Optimum Healthcare $72 95%
Humana $74 - $247 97%
Aetna $75 - $256 98%
Careplus $75 98%
Devoted Health $75 98%
Ndms Definitive Care $75 98%
United $75 - $383 98%
United Behavioral Health $75 98%
Veterans Evaluation Services $75 98%
Wellmed $75 98%
Blue Cross Blue Shield $76 100%
American Health Plan $79 104%
Sunshine State $79 104%
Wellcare $79 104%
Cigna $80 - $241 105%
Florida Complete Care $80 105%
Gold Kidney $82 108%
City Of Jacksonville $84 - $229 110%
Corvel Corporation $84 - $229 110%
Prime Health $85 - $234 112%
Longevity $90 118%
Avmed $102 - $239 134%
Simply Healthcare $108 - $131 142%
Oscar $136 179%
Positive Healthcare $187 246%
Sunshine State Health Plan $217 285%
Molina Healthcare $230 302%
Centurion $236 310%
Corizon $256 336%
Plotkin Health $426 559%
Multiplan $665 - $724 873%
Evernorth $682 896%
Evolutions Healthcare $682 - $724 896%
Ppo Next $724 951%
Novanet $767 1007%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals