CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Grady Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $139
Cash Discount Price: $629
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Grady Memorial Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.83x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$629

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $629 (826%)

Insurance Median: $139 (183%)

Cash: $629 (826% of Medicare)

Ins. Median: $139 (183% 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
Peach State	$24 - $94	32%
Aetna	$75 - $280	98%
Ambetter / Centene	$75 - $93	98%
Blue Cross Blue Shield	$75 - $503	98%
Cigna	$75 - $372	98%
Humana	$75	98%
Kaiser	$75 - $477	98%
Medicare (plans)	$75	98%
UnitedHealthcare	$75 - $453	98%
Vaccn	$75	98%
Wellcare	$75	98%
Clear Spring Health	$79	104%
Clover	$79	104%
Usp Naphcare	$83 - $377	109%
Caresource	$94 - $120	123%
Amerigroup	$102	134%
Oscar Health	$105 - $409	138%
Multiplan	$484	636%

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 $629.
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 Grady Memorial 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.