CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: PAM Rehabilitation Hospital of Tavares LLC

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $112
Cash Discount Price: $360
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at PAM Rehabilitation Hospital of Tavares LLC is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.47x the Medicare baseline. Located in 1730 Mayo Dr, Tavares, FL.

Cash / Self-Pay

$360

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $360 (473%)

Insurance Median: $112 (147%)

Cash: $360 (473% of Medicare)

Ins. Median: $112 (147% 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
Curative	$55	72%
Careplus	$70	92%
UnitedHealthcare	$70 - $75	92%
Palm Beach Aco Reach	$71	93%
Primary Care Alliance	$71	93%
Humana	$72	95%
Aetna	$74 - $81	97%
Blue Cross Blue Shield	$74 - $180	97%
Ilumed Aco Reach	$74	97%
Simply Healthcare	$74	97%
Sunshine State Health Plan	$74	97%
Wellmed	$74	97%
Velocity Provider Ppo Network	$88 - $270	116%
Prime Health Services	$96 - $306	126%
Orlando Health Network	$135	177%
America'S Choice Provider Network	$252	331%
Quik Trip	$270	355%
Usa Managed Care Organization	$270	355%
Multiplan/Phcs	$288	378%

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 $360.
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 PAM Rehabilitation Hospital of Tavares LLC 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.