CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $458
Cash Discount Price: $668
vs. Medicare Baseline: 6.01x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Children's Healthcare of Atlanta at Scottish Rite is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $668. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 6.01x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$668

Average discount available for prompt cash payment at this facility.

Insurance Median

$458

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: $668 (877%)

Insurance Median: $458 (601%)

Cash: $668 (877% of Medicare)

Ins. Median: $458 (601% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 601% of the Medicare baseline (a markup of 501%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Peachstate [43]	$84 - $788	110%
Caresource [61]	$86 - $809	113%
Amerigroup [102]	$87 - $818	114%
Cigna	$132 - $1,246	173%
Blue Cross Blue Shield	$133 - $1,840	175%
United [5]	$133 - $1,251	175%
Ambetter / Centene	$134 - $1,262	176%
Oscar [228]	$134 - $1,263	176%
Aetna	$135 - $1,269	177%
Caresource Marketplace Bronze/Silver/Gold [60]	$136 - $1,281	179%
Kaiser [6]	$136 - $1,284	179%
Sidecar Health [236]	$138 - $1,301	181%
Coventry [9]	$140 - $1,323	184%
Direct Employer Agreements [72]	$140 - $1,602	184%
First Health [74]	$150 - $1,415	197%
Northeast Georgia Heatlh System [808]	$150 - $1,414	197%
Veracity Benefits [809]	$150 - $1,414	197%
Phcs [93]	$170 - $1,602	223%
Secure Health [340]	$170 - $1,602	223%
Beech Street [71]	$180 - $1,696	236%
Multiplan [92]	$196 - $1,847	257%
Novanet [41]	$200 - $1,885	263%

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 $668.
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 Children's Healthcare of Atlanta at Scottish Rite 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.