CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Henry Ford Allegiance Health

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $71
Cash Discount Price: $100
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Henry Ford Allegiance Health is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.93x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $100 (131%)

Insurance Median: $71 (93%)

Cash: $100 (131% of Medicare)

Ins. Median: $71 (93% 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 Cross Blue Shield	$38 - $177	50%
Hap Caresource	$38 - $61	50%
Mclaren	$38	50%
Meridian Health Plan Of Mi	$38 - $108	50%
Priority Health	$38 - $114	50%
Aetna	$40 - $265	53%
Molina	$41 - $71	54%
Humana	$59 - $77	77%
Hap	$61 - $252	80%
Mclaren Health Plan Inc.	$61 - $71	80%
Meridian	$61	80%
Priority	$64 - $71	84%
Bcn	$71 - $113	93%
Cca Health Mi	$71	93%
Health Alliance Plan Of Michigan	$71	93%
Thomas Pace	$71	93%
Vaccn	$72	95%
United Behavioral Health, Inc.	$75	98%
Vitalcore Physicians Group Of Mi	$93 - $204	122%
Cigna	$99 - $363	130%
University Of Michigan	$110	144%
Cofinity	$112	147%
Molina Mi Health Link	$122	160%
Mclaren Health	$204	268%
Jackson County Offiice Of The Sheriff	$212	278%
Immergrun Inc	$244	320%
UnitedHealthcare	$301	395%
Cofinity Group Health	$366	481%
Frontpath	$366	481%
Multiplan, Inc.	$366	481%

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 $100.
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 Henry Ford Allegiance Health 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.