CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Blake Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $84
  • Cash Discount Price: $931
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Blake Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $931. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.10x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$931

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $931 (1223%)
Insurance Median: $84 (110%)
Cash: $931 (1223% of Medicare)
Ins. Median: $84 (110% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $44 58%
Access 2 Healthcare Physicians Freedom Health $67 88%
Access 2 Healthcare Physicians Optimum $67 88%
Humana $71 - $261 93%
Freedom Health Care $73 96%
Optimum Healthcare $73 96%
Avmed $74 - $233 97%
Caresource $74 97%
Aetna $75 - $279 98%
Devoted Health $75 98%
Ndms Definitive Care $75 98%
United $75 - $419 98%
United Va Ccn $75 98%
Wellmed $75 98%
Blue Cross Blue Shield $76 100%
Ultimate Health Plan $76 100%
American Health Plan $79 104%
Sunshine State $79 104%
Wellcare $79 104%
Align Senior Care $80 105%
Cigna $80 - $162 105%
Florida Complete Care $80 105%
Secur $81 106%
Centurion $82 108%
Clear Spring Health $82 108%
Gold Kidney Of Florida $82 108%
Corvel Corporation $84 - $233 110%
Rockport Healthcare Group $84 - $233 110%
Careplus $85 112%
Prime Health $85 - $238 112%
Simply Healthcare $137 - $158 180%
Oscar $140 184%
Molina $177 - $251 232%
Evolutions Healthcare Systems $214 - $857 281%
Sunshine State Health Plan $237 311%
Behealthy America $363 477%
Healthcare Sarasota $466 612%
Plotkin Health $466 612%
Prime Health Sheriff $466 612%
Multiplan $698 - $791 917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals