CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Kendall Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $95
  • Cash Discount Price: $561
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Kendall Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.25x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$561

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $561 (737%)
Insurance Median: $95 (125%)
Cash: $561 (737% of Medicare)
Ins. Median: $95 (125% 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
Freedom Health $48 - $90 63%
Optimum $48 63%
Avmed $67 - $280 88%
Simply Healthcare Plans $73 96%
Humana $75 - $191 98%
Simply Healthcare $76 100%
Careplus Sfl $78 102%
Cigna $78 - $118 102%
Devoted Health $78 102%
Leon Health $78 102%
Ndms Definitive Care $78 102%
United $78 - $252 102%
United Behavioral Health $78 102%
Veterans Evaluation Services $78 102%
Wellmed $78 102%
Aetna $80 - $168 105%
Blue Cross Blue Shield $80 105%
Oscar $82 - $90 108%
Prominence Healthfirst $82 108%
Sunshine State $82 - $86 108%
Align $83 109%
American Health Plan $83 109%
Florida Complete Care $83 109%
Centurion $86 113%
Doctors Healthcare Plan $86 113%
Gold Kidney $87 114%
Corvel Corporation $88 - $250 116%
Careworks (Rockport) $90 - $255 118%
Prime Health $90 - $255 118%
Amerihealth Caritas $94 - $95 123%
Longevity Health Plan $94 123%
Molina $107 - $151 141%
Solis Health Plan $113 148%
Health Sun Health Plan $119 156%
Aids Healthcare $123 - $673 162%
Mmm Of Fl (Health Advantage Plan) $129 169%
Naphcare $133 175%
United Ppo $133 175%
Sunshine State Health Plan $146 192%
Seven Corners $164 - $187 215%
Wellpath $164 - $187 215%
Plotkin Health $280 368%
Prime Health Sherriff $280 368%
Medica Healthcare $325 427%
Multiplan $421 - $477 553%
Evernorth Bh $449 590%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals