CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $73
Cash Discount Price: $91
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ascension Providence Hospital, Southfield and Novi is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.96x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $91 (120%)

Insurance Median: $73 (96%)

Cash: $91 (120% of Medicare)

Ins. Median: $73 (96% 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.

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
Blue Caid Michigan	$42	55%
Harbor Health Mcd	$42	55%
Medicaid / KanCare	$42 - $72	55%
Molina Health	$42	55%
Total Health Care	$42	55%
UnitedHealthcare	$42	55%
Amerihealth Vip Care Mcr	$62 - $72	81%
Aetna	$72 - $74	95%
Auto Insurance	$72	95%
Jvhl - Mcr Replacement	$72	95%
Mcr Replacement	$72	95%
Veterans Choice	$72	95%
Humana	$73	96%
Meridian Wellcare	$76	100%
Molina Advantage	$76	100%
Hap Alliance Health	$84	110%
Hap Hmo Pos	$84	110%
Ambetter / Centene	$90	118%
Molina Marketplace	$90	118%
Hap Preferred	$100	131%
Smart Health	$100	131%
Bc Metro Detroit Epo	$156 - $157	205%
Bc Metro Detroit Hmo	$156 - $157	205%
Bcn Local Network Southeast	$156 - $164	205%
Blue Care Network	$156 - $157	205%
Blue Cross Blue Shield	$156 - $157	205%

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 $91.
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 Ascension Providence Hospital, Southfield and Novi 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.