CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $121
  • Cash Discount Price: $947
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Lawnwood Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $947. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.59x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$947

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $947 (1244%)
Insurance Median: $121 (159%)
Cash: $947 (1244% of Medicare)
Ins. Median: $121 (159% 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
Humana $73 - $515 96%
Careplus $77 101%
Devoted Health $77 - $79 101%
Ndms Definitive Care $77 101%
United $77 - $579 101%
United Behavioral Health $77 101%
Veterans Evaluation Services $77 101%
Wellmed $77 101%
Blue Cross Blue Shield $78 - $449 102%
Ultimate Health Plan $78 102%
Aetna $79 - $386 104%
Bright Health $79 - $182 104%
Cigna $79 - $452 104%
Mutual Of Omaha $79 104%
Rocky Mountain Health $79 104%
Total Longterm Care $79 104%
Triwest Health Alliance $79 104%
Innovage Pace $80 105%
Kaiser $80 - $216 105%
American Health Plan $81 106%
Prominence Healthfirst $81 106%
Sunshine State $81 - $85 106%
Wellcare $81 106%
Florida Complete Care $82 108%
Delaware Life Insurance $83 109%
Centurion $85 112%
Corvel Corporation $86 - $239 113%
Careworks (Rockport) $88 - $244 116%
Prime Health $88 - $546 116%
Amerihealth Caritas $92 121%
Longevity Health Plan $92 121%
Vail Health $92 121%
Freedom Health $111 - $206 146%
Optimum $111 146%
Solis Health Plan $111 146%
Avmed $167 - $644 219%
Simply Healthcare Plans $167 219%
Molina $245 - $347 322%
Oscar $245 322%
Health Sun Health Plan $274 360%
Simply Healthcare $302 397%
Sunshine State Health Plan $328 431%
Western Plains Community Health $395 519%
Multiplan $425 - $1,094 558%
Northcare $425 558%
Physician Health Partners $425 558%
Office Of Sheiff Highland Co $450 591%
Pinnacol Workers Comp $455 598%
Medical Development International $486 638%
United Ppo $566 743%
Plotkin Health $644 846%
Prime Health Sherriff $644 846%
Evernorth Bh $1,030 1353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals