CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Deaconess Henderson Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $106
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Deaconess Henderson Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.39x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $159 (209%)
Insurance Median: $106 (139%)
Cash: $159 (209% of Medicare)
Ins. Median: $106 (139% 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 $20 - $513 26%
Medicaid / KanCare $20 - $106 26%
UnitedHealthcare $20 - $340 26%
Wellcare Ky $20 - $69 26%
Humana $21 - $423 28%
Blue Cross Blue Shield $51 - $301 67%
Wellcare Il $51 - $69 67%
Ky Racing Health & Welfare Fund $61 - $153 80%
Self-Pay $61 - $159 80%
Medicare (plans) $69 91%
Mhs Mco $69 91%
Molina Healthcare Of Ky $69 91%
Molina Healthcare Of Ky - Exchange $69 91%
Mytru Advantage $69 - $153 91%
Umwa $69 91%
Caresource In $72 95%
Caresource In Marketplace $90 118%
Wellcare Ky Commercial Exchange $90 118%
Center Care Narrow $94 - $445 123%
Center Care Open Access $94 - $445 123%
Encircle/Encore Combined $95 - $306 125%
Encircle/Encore Prime $95 - $285 125%
Alliance Coal $96 - $107 126%
Cigna $104 - $339 137%
Claimdoc $104 - $317 137%
First Health Network (Coventry) $104 - $450 137%
Healthlink $104 - $397 137%
Hopetrust $104 137%
Hstechnology $104 - $317 137%
Iu Health Plans $104 - $271 137%
Phcs/Multiplan $104 - $445 137%
Sagamore $104 - $466 137%
Amish And Mennonite Of Western Ky $107 - $112 141%
Noncontracted $111 146%
Coventry National Network $138 - $423 181%
Webster County Detention Center $138 - $423 181%
One Care $142 186%
Henderson County Detention Center $156 - $476 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals