CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Presence Mercy Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 1.3× the $76 Medicare rate · typically $79–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Below the fair price — a good deal
about $18 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $98 This hospital $80 Cash price $77 Hospital's list price $433

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $80

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

A fair price for a Speech therapy (language evaluation) is about $98 (about 1.3× the $76 Medicare rate). Presence Mercy Medical Center charges insurers about $80, or about $77 in cash — below the fair price — a good deal. Located in Aurora, IL.

What each insurance company pays

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

5 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 $78 - $97 102%
Blue Cross Blue Shieldmajor $74 - $109 97%
Aetnamajor $78 - $81 102%
Cignamajor $78 102%
Humanamajor $78 - $85 102%
Ambetter (Centene) $126 165%
Devoted Health $78 102%
Health Net $93 122%
HealthPartners $78 - $89 102%
Meridian $81 106%
Molina $80 - $116 105%
WellCare $78 102%
+ 12 smaller / regional plans $78 - $286
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals