CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Munson Healthcare Grayling Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $98
  • Cash Discount Price: $313
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Munson Healthcare Grayling Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.29x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$313

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $313 (411%)
Insurance Median: $98 (129%)
Cash: $313 (411% of Medicare)
Ins. Median: $98 (129% 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
Blue Cross Blue Shield $38 - $224 50%
Mclaren Health Plan $38 - $206 50%
Meridian $38 50%
Molina $38 - $79 50%
Priority Health $38 - $107 50%
UnitedHealthcare $38 - $221 50%
Aetna $73 - $279 96%
Atrium King Centre Skilled Nursing Services $73 96%
Blue Care Network $73 96%
Hap (Health Alliance Plan) $73 - $294 96%
Humana $73 96%
Medicare (plans) $73 96%
Michigan Amish Medical Board $73 - $84 96%
Northern Michigan Mennonite Group $73 96%
Promedica $73 96%
Wellcare (Meridian) $73 96%
Wellspring Lutheran Services Skilling Nursing Services $73 96%
Cofinity $74 - $287 97%
Cigna $96 - $107 126%
Provider Network Of America Group Health $103 - $313 135%
Asr/Physicians Care $110 - $294 144%
Nomi Health $117 - $294 154%
Employee Benefits Logistics $125 164%
Hospice Of Michigan $221 290%
Munson Hospice $258 - $852 339%
Medical Cost Savings Solution $294 386%
The Robbins Group And Regency Employee Benefits $294 386%
Wds Enterprise Group Planning $294 386%
First Health/Coventry Network $313 411%
Three Rivers Provider Network $313 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals