CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Southern Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $79
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Southern Regional Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.04x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $76 (100%)
Insurance Median: $79 (104%)
Cash: $76 (100% of Medicare)
Ins. Median: $79 (104% 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.

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
Aetna $55 - $77 72%
Humana $73 - $150 96%
Americas Choice Provider Network $77 101%
Blue Cross Blue Shield $77 - $177 101%
Cigna $77 - $131 101%
Clear Spring Health Plan $77 101%
Corvel $77 101%
Georgia Workers’ Compensation $77 101%
Medicare (plans) $77 101%
Multiplan $77 101%
Novanet $77 101%
Prime Health Services $77 101%
Provider Select $77 101%
Riverwood Behavioral Health $77 - $96 101%
Three Rivers $77 101%
Tricare $77 101%
UnitedHealthcare $77 101%
Caresource $79 - $135 104%
Devoted Health $79 104%
Peach State $79 - $92 104%
Sonder Health Plan $81 106%
Wellcare $81 106%
Oscar Health Plan $100 131%
Employer Direct Healthcare $108 142%
Centurion $115 151%
Naphcare $119 156%
Therapy Network Of Ga $450 - $625 591%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals