CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 1.0× the $76 Medicare rate · typically $64–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $76 Fair price $76 This hospital $73 Cash price $143 Hospital's list price $286

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 0 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $31 Priciest $73

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $76 (about 1.0× the $76 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $73, or about $143 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $67 - $294 88%
Blue Cross Blue Shieldmajor $71 - $136 93%
Aetnamajor $68 - $197 89%
Cignamajor $99 - $266 130%
Humanamajor $71 - $196 93%
Kaiser Permanentemajor $133 - $186 175%
Ambetter (Centene) $86 - $146 113%
Clover Health $73 96%
+ 9 smaller / regional plans $71 - $266
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals