CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $356
- Cash Discount Price: $300
- vs. Medicare Baseline: 4.67x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Trinity Health Ann Arbor Hospital is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.67x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$300
Average discount available for prompt cash payment at this facility.
Insurance Median
$356
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: $300 (394%)
Insurance Median: $356 (467%)
Cash: $300 (394% of Medicare)
Ins. Median: $356 (467% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 467% of the Medicare baseline (a markup of 367%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 |
|---|---|---|
| Blue Cross Blue Shield | $62 - $166 | 81% |
| Medicaid / KanCare | $62 - $63 | 81% |
| Huron Valley Pace | $72 | 95% |
| Aetna | $74 - $258 | 97% |
| Blue Care Network Advantage | $74 | 97% |
| Medicare (plans) | $74 - $76 | 97% |
| Align Senior Care | $76 | 100% |
| Angela Hospice | $76 | 100% |
| Hospice Advantage | $76 | 100% |
| UnitedHealthcare | $78 - $416 | 102% |
| Cca - Zing Health | $80 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $85 | 112% |
| Molina Marketplace | $98 | 129% |
| Priority Health | $111 - $123 | 146% |
| Health Cost Solutions | $114 | 150% |
| Wellpath | $114 - $117 | 150% |
| Point Comfort Underwriters | $116 | 152% |
| Vitalcore | $117 | 154% |
| Wc Accident Fund | $134 | 176% |
| Wc Advantage | $134 | 176% |
| Wc Aig | $134 | 176% |
| Wc Allied | $134 | 176% |
| Wc Amerisure | $134 | 176% |
| Wc Amtrust | $134 | 176% |
| Wc Asu Risk Mgt | $134 | 176% |
| Wc Berkley Admin | $134 | 176% |
| Wc Broadspire | $134 | 176% |
| Wc Bunch & Associates | $134 | 176% |
| Wc Ccmsi | $134 | 176% |
| Wc Emc Insurance Company | $134 | 176% |
| Wc Esis | $134 | 176% |
| Wc Fcci | $134 | 176% |
| Wc Federated | $134 | 176% |
| Wc Gallagher Bassett | $134 | 176% |
| Wc Genex Care For Ohio | $134 | 176% |
| Wc Guard Insurance Company | $134 | 176% |
| Wc Hartford | $134 | 176% |
| Wc Liberty Mutual | $134 | 176% |
| Wc Meijers | $134 | 176% |
| Wc Michigan | $134 | 176% |
| Wc Mitchell Frankenmuth | $134 | 176% |
| Wc Pma | $134 | 176% |
| Wc Sedgwick | $134 | 176% |
| Wc Sentry | $134 | 176% |
| Wc Travelers | $134 | 176% |
| Wc Tristar | $134 | 176% |
| Wc Walmart | $134 | 176% |
| Wc Zurich | $134 | 176% |
| U Of M Health Plan | $163 | 214% |
| Bcn Domestic | $166 | 218% |
| Blue Benefit Administrators Of Massachusetts | $166 | 218% |
| Blue Care Network | $166 | 218% |
| Blue Distinction Transplant | $166 | 218% |
| Blue Shield - Ca | $166 | 218% |
| Blue Shield - Id (Regence) | $166 | 218% |
| Blue Shield - Ny Highmark Northeastern | $166 | 218% |
| Blue Shield - Ny Highmark Western | $166 | 218% |
| Blue Shield - Pa (Highmark) | $166 | 218% |
| Blue Shield - Wa (Regence) | $166 | 218% |
| Health Choices | $166 - $356 | 218% |
| Kaiser Domestic | $166 | 218% |
| Employee Benefit Logistic | $170 | 223% |
| Asr Health Benefits | $181 | 238% |
| Caresource | $181 | 238% |
| Hap | $181 - $356 | 238% |
| Varipro | $181 | 238% |
| Acs Benefit Services | $215 | 282% |
| Allied Benefit Systems | $215 | 282% |
| Claimchoice Adminstrators | $215 | 282% |
| Consociate | $215 | 282% |
| Cypress Benefit Administrators | $215 | 282% |
| Forest County Potawatomi | $215 | 282% |
| Health Smart | $215 | 282% |
| Healthgram | $215 | 282% |
| Healthscope | $215 | 282% |
| Secureone Preferred United Plans | $215 | 282% |
| Sisco Benefits | $215 | 282% |
| The Health Plan | $215 | 282% |
| Trustmark Small Business Benefits | $215 | 282% |
| Unified Group Services | $215 | 282% |
| Webtpa | $215 | 282% |
| Geha | $258 - $338 | 339% |
| Meritain | $258 | 339% |
| 1199 National Benefit Fund | $356 | 467% |
| Access Health | $356 | 467% |
| Acclaim | $356 | 467% |
| Administrative Concepts | $356 | 467% |
| Allegeant | $356 | 467% |
| Allied National Global Care | $356 | 467% |
| Ameriben | $356 | 467% |
| American Family | $356 | 467% |
| American Healthcare Alliance | $356 | 467% |
| American National | $356 | 467% |
| American Republic | $356 | 467% |
| Amerihealth | $356 | 467% |
| Asrm - Reliance Standard Life Insurance | $356 | 467% |
| Aultcare | $356 | 467% |
| Automated Benefit Services | $356 | 467% |
| Auxiant | $356 | 467% |
| Benefit Administrative Systems,Llc | $356 | 467% |
| Boon Chapman | $356 | 467% |
| Cam Administrative Services | $356 | 467% |
| Christian Brother Services | $356 | 467% |
| Christian Brothers Holy Cross | $356 | 467% |
| Christian Care Ministry | $356 | 467% |
| Comprehensive Benefits | $356 | 467% |
| Continental Life Insurance | $356 | 467% |
| Coventry | $356 | 467% |
| Custom Benefit Administrators | $356 | 467% |
| Dean Health | $356 | 467% |
| Employee Benefit Concepts | $356 | 467% |
| Employee Benefit Management | $356 | 467% |
| Enterprise Group Planning | $356 | 467% |
| Fallon Health | $356 | 467% |
| Family Life Insurance Company | $356 | 467% |
| Freedom Life Insurance Company | $356 | 467% |
| Ghc Scw | $356 | 467% |
| Group Administrators | $356 | 467% |
| Group Marketing Services | $356 | 467% |
| Group Pension Administrators | $356 | 467% |
| Guardian | $356 | 467% |
| Health America | $356 | 467% |
| Health Partners | $356 | 467% |
| Healthcare Management Admin | $356 | 467% |
| Healthez | $356 | 467% |
| Humana | $356 | 467% |
| Insight | $356 | 467% |
| Intercare | $356 | 467% |
| International Benefit Administrators | $356 | 467% |
| Jfp Benefit Management | $356 | 467% |
| Jp Farley Corporation | $356 | 467% |
| Key Benefit Administrator | $356 | 467% |
| Liberty Union Life Assurance Co | $356 | 467% |
| Lifetime Benefit Solutions | $356 | 467% |
| Lucent Health | $356 | 467% |
| Luminare Health | $356 | 467% |
| Luminare Health (Detroit) | $356 | 467% |
| Magnacare | $356 | 467% |
| Manhattan Life | $356 | 467% |
| Medben | $356 | 467% |
| Medcost | $356 | 467% |
| Medi Share | $356 | 467% |
| Medical Mutual | $356 | 467% |
| Multiplan | $356 | 467% |
| Mutual Health Services | $356 | 467% |
| Mutual Of Omaha | $356 | 467% |
| Mvp | $356 | 467% |
| Ncas | $356 | 467% |
| Nippon Life Ins | $356 | 467% |
| Nova | $356 | 467% |
| Pai | $356 | 467% |
| Painters Union Insurance Fund | $356 | 467% |
| Pan-American Life | $356 | 467% |
| Paramount Hmo | $356 | 467% |
| Phcs | $356 | 467% |
| Physicians Mutual | $356 | 467% |
| Plumbers Local 98 Insurance Fund | $356 | 467% |
| Prairie States | $356 | 467% |
| Preferred One | $356 | 467% |
| Primary Physician Care | $356 | 467% |
| Professional Benefit Administrators | $356 | 467% |
| Siho Insurance Services | $356 | 467% |
| The Loomis Company | $356 | 467% |
| Trinity Health Share | $356 | 467% |
| Tufts Health Plan | $356 | 467% |
| Unicare | $356 | 467% |
| Us Health And Life | $356 | 467% |
| Valenz | $356 | 467% |
| Western & Southern Financial Group | $356 | 467% |
| Wps | $356 | 467% |
| Cigna | $359 | 471% |
| First Health | $365 | 479% |
| Prime Health Services | $370 | 486% |
| Correctional Healthcare Consultants | $415 | 545% |
| Three Rivers Provider Network | $416 | 546% |
| Bcccp-Michigan | $462 | 607% |
| Cmh Detroit Wayne Integrated Health Network | $462 | 607% |
| Cmh Lenawee County | $462 | 607% |
| Cmh Livingston County | $462 | 607% |
| Cmh Misc | $462 | 607% |
| Cmh Monroe County | $462 | 607% |
| Cmh Washtenaw County | $462 | 607% |
| Crime Victim Assistance | $462 | 607% |