CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercy Health Saint Mary's

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$95
about 1.3× the $76 Medicare rate · typically $69–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Below the fair price — a good deal
about $20 under the fair price · 1.0× Medicare
Medicare pays $76 Fair price $95 This hospital $75 Cash price $207 Hospital's list price $319

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $40 Priciest $75

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $95 (about 1.3× the $76 Medicare rate). Mercy Health Saint Mary's charges insurers about $75, or about $207 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $76 - $319 100%
Blue Cross Blue Shieldmajor $62 - $154 81%
Aetnamajor $72 - $253 95%
Cignamajor $233 306%
Humanamajor $243 - $319 319%
Kaiser Permanentemajor $154 202%
AmeriHealth $243 319%
CareSource $208 273%
Dean Health Plan $233 306%
GEHA $200 - $242 263%
Medical Mutual $200 263%
Molina $96 126%
MVP Health Care $233 306%
Oscar Health $94 123%
Paramount $233 306%
Priority Health $140 - $143 184%
UniCare $243 319%
+ 144 smaller / regional plans $52 - $319
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals