CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Lucie Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $150
  • Cash Discount Price: $1,740
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Lucie Medical Center is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,740. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.97x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$1,740

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

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: $1,740 (2285%)
Insurance Median: $150 (197%)
Cash: $1,740 (2285% of Medicare)
Ins. Median: $150 (197% 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 - $696 96%
Careplus $77 101%
Devoted Health $77 101%
Hospice Of Treasure Coast $77 101%
Hospice Treasure Coast $77 101%
Ndms Definitive Care $77 101%
United $77 - $783 101%
United Behavioral Health $77 101%
Veterans Evaluation Services $77 101%
Wellmed $77 101%
Blue Cross Blue Shield $78 102%
Ultimate Health Plan $78 102%
Aetna $79 - $522 104%
American Health Plan $81 106%
Prominence Healthfirst $81 106%
Sunshine State $81 - $85 106%
Cigna $82 - $611 108%
Florida Complete Care $82 108%
Centurion $85 112%
Corvel Corporation $86 - $239 113%
Careworks (Rockport) $88 - $244 116%
Prime Health $88 - $244 116%
Amerihealth Caritas $92 121%
Longevity Health Plan $92 121%
Solis Health Plan $111 146%
Freedom Health $150 - $278 197%
Optimum $150 197%
Avmed $226 - $870 297%
Simply Healthcare Plans $226 297%
Molina $331 - $470 435%
Oscar $331 435%
Health Sun Health Plan $371 487%
Simply Healthcare $409 537%
Sunshine State Health Plan $444 583%
United Ppo $766 1006%
Plotkin Health $870 1142%
Prime Health Sherriff $870 1142%
Multiplan $1,305 - $1,479 1714%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals