CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: University of Louisville Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $165
Cash Discount Price: $99
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at University of Louisville Hospital is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.17x the Medicare baseline. Located in 530 South Jackson Street, Louisville, KY.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$165

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: $99 (130%)

Insurance Median: $165 (217%)

Cash: $99 (130% of Medicare)

Ins. Median: $165 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Cshn	$43 - $413	56%
Blue Cross Blue Shield	$69 - $413	91%
Humana	$69 - $71	91%
Aetna	$70	92%
UnitedHealthcare	$70 - $197	92%
Essence Health	$71	93%
Va Ccn	$71	93%
Passport	$72 - $206	95%
Senior Care Community Of Ky	$72	95%
Signature	$73 - $206	96%
Communicare	$75	98%
Devoted	$75 - $124	98%
Wellcare	$82 - $101	108%
Velocity	$90 - $405	118%
Key Benefit Administrators	$92	121%
Cigna	$102	134%
Prime Group Health	$114 - $351	150%
Multiplan	$273 - $372	359%
Encore	$289	380%
Health Smart	$310	407%
Omca	$392	515%
Corvel	$413	542%
National Comp Care	$413	542%

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 $99.
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 University of Louisville Hospital 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.