CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Florida Raulerson Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $109
  • Cash Discount Price: $786
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Florida Raulerson Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $786. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.43x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$786

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: $786 (1032%)
Insurance Median: $109 (143%)
Cash: $786 (1032% 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.

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 $68 - $126 89%
Optimum $68 89%
Humana $73 - $314 96%
Careplus $75 98%
Devoted Health $75 98%
Ndms Definitive Care $75 98%
United $75 - $354 98%
Veterans Evaluation Services $75 98%
Wellmed $75 98%
Blue Cross Blue Shield $76 100%
Ultimate Health Plan $76 100%
Aetna $77 - $236 101%
American Health Plan $79 104%
Prominence Healthfirst $79 104%
Sunshine State $79 - $82 104%
Cigna $80 - $276 105%
Florida Complete Care $80 105%
Centurion $82 108%
Corvel Corporation $84 - $216 110%
Careworks (Rockport) $85 - $220 112%
Prime Health $85 - $220 112%
Amerihealth Caritas $90 118%
Longevity Health Plan $90 118%
Avmed $102 - $393 134%
Simply Healthcare Plans $102 134%
Solis Health Plan $109 143%
Molina $149 - $212 196%
Oscar $149 196%
Health Sun Health Plan $167 219%
Simply Healthcare $185 243%
Sunshine State Health Plan $200 263%
United Ppo $346 454%
Plotkin Health $393 516%
Prime Health Sherriff $393 516%
Multiplan $590 - $668 775%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals