CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Anthony's Rehabilitation Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $65
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Anthony's Rehabilitation Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.85x the Medicare baseline. Located in 3487 N.W. 30Th Street, Lauderdale Lakes, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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%)

Insurance Median: $65 (85%)

Ins. Median: $65 (85% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$47	62%
Careplus	$47	62%
Aetna	$52	68%
Metra Comp	$53	70%
Molina Hc	$55	72%
Medica	$58	76%
Avmed	$60	79%
Integrated Health	$62	81%
Medin-Crease Health Plan	$62 - $70	81%
Cigna	$65	85%
Coventry	$66	87%
Humana	$66	87%
Positive	$66	87%
Rockport	$66 - $74	87%
Doctors	$70	92%
Simply	$75	98%
Concordia	$82	108%
Dimension Health	$82	108%
Preferred Care Partners	$82	108%
Prime Health Care Partners	$82	108%
UnitedHealthcare	$82	108%
Wellcare	$82	108%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Anthony's Rehabilitation Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.