CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Putnam Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $88
  • Cash Discount Price: $807
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Putnam Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $807. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.16x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$807

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $807 (1060%)
Insurance Median: $88 (116%)
Cash: $807 (1060% of Medicare)
Ins. Median: $88 (116% 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
Cigna $52 - $123 68%
Humana $71 - $137 93%
Ndms Definitive Care $75 98%
United $75 - $363 98%
Wellmed $75 98%
Blue Cross Blue Shield $76 100%
Fl Health Care Plan $76 100%
Aetna $77 - $242 101%
American Health Plan $79 104%
Sunshine State $79 104%
Wellcare $79 104%
Align Senior Care $80 105%
Florida Complete Care $80 105%
Centurion $82 108%
Clear Spring Health $82 108%
Gold Kidney Of Florida $82 108%
Putnam County Sheriffs $82 108%
Corvel Corporation $84 - $216 110%
Prime Health $85 - $220 112%
Ultimate Health Plan $86 113%
Careworks (Rockport Community) $88 - $227 116%
Longevity Health Plan $90 118%
Avmed $97 - $403 127%
Oscar $97 127%
Simply Healthcare $102 134%
Molina Healthcare $153 - $258 201%
Evolutions $186 244%
Sunshine State Health Plan $206 271%
Plotkin Health $403 529%
Prime Health Sheriff $403 529%
Multiplan $629 - $686 826%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals