CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Palmetto General Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $109
- Cash Discount Price: $774
- vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Palmetto General Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $774. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.43x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$774
Average discount available for prompt cash payment at this facility.
Insurance Median
$109
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: $774 (1016%)
Insurance Median: $109 (143%)
Cash: $774 (1016% of Medicare)
Ins. Median: $109 (143% 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.
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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 | $23 - $549 | 30% |
| Veterans Administration Mill Bill | $53 | 70% |
| Medicare (plans) | $69 - $774 | 91% |
| Humana | $70 - $75 | 92% |
| Devoted Health | $76 | 100% |
| Leon Health Inc | $76 | 100% |
| Tricare | $76 | 100% |
| UnitedHealthcare | $76 - $362 | 100% |
| Bristol Hospice- Miami Dade Llc | $77 | 101% |
| Catholic Hospice | $77 | 101% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $77 | 101% |
| Employer Direct Healthcare | $77 - $97 | 101% |
| Hospice Other | $77 | 101% |
| Ima Evalutations Inc | $77 | 101% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $77 | 101% |
| Opuscare Of South Fl | $77 | 101% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $77 | 101% |
| Select Specialty Hospital | $77 | 101% |
| Veterans Administration Vaccn | $77 | 101% |
| Vitas Healthcare Hospice | $77 | 101% |
| Westchester General Hospital | $77 | 101% |
| Cigna | $80 - $387 | 105% |
| Healthsun Health Plans | $80 | 105% |
| Longevity Health Plan | $81 | 106% |
| Florida Pace Centers | $91 | 120% |
| Bright Health Management Commercial | $93 | 122% |
| Dimension Health Wc | $95 | 125% |
| Self Pay/Uninsured | $95 | 125% |
| Workers Compensation | $95 | 125% |
| Naphcare Inc | $107 | 141% |
| Oscar Health Plan Hix | $114 | 150% |
| Bc/Bs Myblue Hmo Hix | $118 | 155% |
| Bc/Bs Of Fl Health Options Hmo | $118 | 155% |
| Bc/Bs Of Fl Network Blue | $118 | 155% |
| Bc/Bs Of Fl Simplyblue | $118 | 155% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $125 | 164% |
| Bc/Bs Of Fl Ppo | $133 | 175% |
| Avmed Exchange | $135 | 177% |
| Ambetter / Centene | $143 | 188% |
| Molina Marketplace Program Exchange | $147 | 193% |
| Auto Insurance | $155 | 204% |
| Bc/Bs Of Fl Miami Dade Blue Select | $156 | 205% |
| Avmed Select Network | $158 | 207% |
| Imagine Health | $161 | 211% |
| Amerihealth Caritas Next Exchange | $166 | 218% |
| Avmed Broad Network | $174 | 228% |
| Medicaid / KanCare | $193 - $774 | 253% |
| Liga Contra El Cancer | $387 | 508% |
| Bc/Bs Of Fl Phs | $388 | 510% |
| Magellan Behavioral Health | $464 | 609% |
| Dimensions International | $503 | 661% |
| First Health | $519 | 682% |
| Dimension Health Ppo | $580 | 762% |
| Beacon Health Strategies Commercial | $774 | 1016% |
| Commercial Non-Contracted | $774 | 1016% |
| Self Pay - Mcd Pending 100 Percent | $774 | 1016% |
| Single Case Agreement | $774 | 1016% |
| United Behavioral Health Psych | $774 | 1016% |