CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Atrium Health Floyd Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $127
Cash Discount Price: $169
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Atrium Health Floyd Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.67x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$169

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $169 (222%)

Insurance Median: $127 (167%)

Cash: $169 (222% of Medicare)

Ins. Median: $127 (167% 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
Amerigroup	$57	75%
Caresource	$58 - $107	76%
Peach State Health Plan	$58	76%
Awc Networks	$66	87%
Oscar Health Plan	$66 - $118	87%
Blue Cross Blue Shield	$71 - $254	93%
Cigna	$71 - $250	93%
Georgia Assurance	$71	93%
Humana	$71 - $220	93%
UnitedHealthcare	$71 - $254	93%
Aetna	$72 - $230	95%
Wellcare	$73	96%
Clover	$74	97%
Occunet	$100	131%
Alliant Health Plans	$107 - $135	141%
Ambetter / Centene	$107	141%
Beacon	$169	222%
Evernorth	$169	222%
Multiplan	$237	311%
Beech Street	$264	347%
Private Health Care Systems	$287	377%

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 $169.
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 Atrium Health Floyd Medical Center 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.