CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Claiborne Memorial Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $100
- Cash Discount Price: $170
- vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Claiborne Memorial Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.31x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$170
Average discount available for prompt cash payment at this facility.
Insurance Median
$100
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: $170 (223%)
Insurance Median: $100 (131%)
Cash: $170 (223% of Medicare)
Ins. Median: $100 (131% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ambetter / Centene | $22 | 29% |
| Medicaid / KanCare | $22 - $103 | 29% |
| Aetna | $33 - $155 | 43% |
| Amerihealth Caritas La | $33 - $103 | 43% |
| Community Health Solution | $33 - $103 | 43% |
| Correctcare Intergrated | $33 - $103 | 43% |
| Healthy Blue | $33 - $103 | 43% |
| Humana | $33 - $239 | 43% |
| Louisiana Hc Connections | $33 - $103 | 43% |
| Magellan Services | $33 - $103 | 43% |
| UnitedHealthcare | $33 - $103 | 43% |
| Commercial Insurance | $40 - $239 | 53% |
| Meritain Health | $40 - $155 | 53% |
| Coventry Healthcare | $60 - $144 | 79% |
| Arcadian Community Mcr Hm | $70 | 92% |
| Blue Cross Blue Shield | $70 - $338 | 92% |
| Champus | $70 | 92% |
| Champva | $70 | 92% |
| Cigna | $70 - $179 | 92% |
| Geha | $70 - $167 | 92% |
| Health Plus Of La | $70 - $179 | 92% |
| Healthy Blue Dual Adv | $70 | 92% |
| Kaiser Foundation Health | $70 | 92% |
| Medicare (plans) | $70 | 92% |
| Peoples Health Network | $70 | 92% |
| Pyramid Claims Mcr Hmo | $70 | 92% |
| Sterling Connect 2 | $70 | 92% |
| Sterling Premier Mc Hmo | $70 | 92% |
| Superior Health Mcr Hmo | $70 | 92% |
| Tenet Mcr Hmo | $70 | 92% |
| Tricare | $70 | 92% |
| United Hc Mcr Hmo | $70 | 92% |
| Universal Hc Mcr Hmo | $70 | 92% |
| Us Dept Of Labor | $70 | 92% |
| Vantage Health Mcr Hmo | $70 | 92% |
| Windsor Sterling Mcr Hmo | $70 | 92% |
| Wps Mvh Vapc3 | $70 | 92% |
| Sedgwick Claims Mgmt Serv | $72 - $215 | 95% |
| Workman'S Comp | $72 - $215 | 95% |
| Apwu Healthplan | $75 - $179 | 98% |
| Great West Healthcare | $75 - $179 | 98% |
| Vantage Health Plan Inc | $75 - $85 | 98% |
| Phcs | $80 - $191 | 105% |
| Ppo Plus | $80 - $191 | 105% |
| Aarp | $100 - $239 | 131% |
| Accordia National | $100 - $239 | 131% |
| Aflac | $100 - $239 | 131% |
| Alameda Alliance Forhealt | $100 - $239 | 131% |
| American Pioneer | $100 - $239 | 131% |
| Benefit Management | $100 - $239 | 131% |
| Benesys Inc | $100 - $239 | 131% |
| Business Guarantor | $100 - $239 | 131% |
| Chubb | $100 - $239 | 131% |
| Commercial Sr. Care | $100 - $239 | 131% |
| Employee Benefit Services | $100 - $239 | 131% |
| Family Life Insurance Co | $100 - $239 | 131% |
| Farm Bureau Insurance | $100 - $239 | 131% |
| Fiserv Health Benefit | $100 - $239 | 131% |
| Gmp | $100 - $239 | 131% |
| Group And Pension Admin | $100 - $239 | 131% |
| Group Resources | $100 - $239 | 131% |
| Haik Minvielle And Grubbs | $100 - $239 | 131% |
| Harrington Benefit Svs | $100 - $239 | 131% |
| Health Design Plus | $100 - $239 | 131% |
| Health Plan | $100 - $239 | 131% |
| Healthscope Benefits | $100 - $239 | 131% |
| Insurance Management Admi | $100 - $239 | 131% |
| Jefferson National | $100 - $239 | 131% |
| John Alden Health Ins | $100 - $239 | 131% |
| John Hancock | $100 - $239 | 131% |
| Liberty Mutual | $100 - $239 | 131% |
| Mailhandlers Benefit Plan | $100 - $239 | 131% |
| Manhattan Life Ins Co | $100 - $239 | 131% |
| Mega Life And Health | $100 - $239 | 131% |
| Msa Careguard | $100 - $239 | 131% |
| Mutual Of Omaha | $100 - $239 | 131% |
| Nalc Health Benefit Plan | $100 - $239 | 131% |
| Naphcare Inc. | $100 - $239 | 131% |
| New Era Life Ins Co | $100 - $239 | 131% |
| Physicians Mutual | $100 - $239 | 131% |
| Principal Financial Group | $100 - $239 | 131% |
| Prudential Healthcare | $100 - $239 | 131% |
| Self Pay | $100 - $239 | 131% |
| State Farm | $100 - $239 | 131% |
| State Farm Insurance | $100 - $239 | 131% |
| State Mutual Insurance Co | $100 - $239 | 131% |
| Sterling Investors Life | $100 - $239 | 131% |
| Tower Life | $100 - $239 | 131% |
| Transamerica Premier Ins | $100 - $239 | 131% |
| United American | $100 - $239 | 131% |
| United Comm Travelers | $100 - $239 | 131% |
| United Teachers | $100 - $239 | 131% |
| Usable Administrator | $100 - $239 | 131% |
| Visn 16 Cfu | $100 - $239 | 131% |
| Wausau Benefits | $100 - $239 | 131% |
| Webtpa | $100 - $239 | 131% |
| Wells Fargo | $100 - $239 | 131% |
| Woodmen Of The World | $100 - $239 | 131% |