CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Chelsea Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $307
- Cash Discount Price: $300
- vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Chelsea Hospital is $307. 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 4.03x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$300
Average discount available for prompt cash payment at this facility.
Insurance Median
$307
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: $307 (403%)
Cash: $300 (394% of Medicare)
Ins. Median: $307 (403% 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 403% of the Medicare baseline (a markup of 303%). 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.
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 | $62 - $171 | 81% |
| Medicaid / KanCare | $62 - $63 | 81% |
| Aetna | $74 - $254 | 97% |
| Blue Care Network Advantage | $74 | 97% |
| Medicare (plans) | $74 - $76 | 97% |
| Arbor Hospice | $75 | 98% |
| Align Senior Care | $76 | 100% |
| Angela Hospice | $76 | 100% |
| Heartland Hospice | $76 | 100% |
| UnitedHealthcare | $78 - $310 | 102% |
| Cca - Zing Health | $80 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $85 | 112% |
| Molina Marketplace | $98 | 129% |
| Priority Health | $116 - $128 | 152% |
| Health Cost Solutions | $117 | 154% |
| Vitalcore | $117 | 154% |
| Wellpath | $117 | 154% |
| Wc Accident Fund | $122 | 160% |
| Wc Advantage | $122 | 160% |
| Wc Aig | $122 | 160% |
| Wc Allied | $122 | 160% |
| Wc Amerisure | $122 | 160% |
| Wc Amtrust | $122 | 160% |
| Wc Asu Risk Mgt | $122 | 160% |
| Wc Berkley Admin | $122 | 160% |
| Wc Broadspire | $122 | 160% |
| Wc Bunch & Associates | $122 | 160% |
| Wc Ccmsi | $122 | 160% |
| Wc Emc Insurance Company | $122 | 160% |
| Wc Esis | $122 | 160% |
| Wc Fcci | $122 | 160% |
| Wc Federated | $122 | 160% |
| Wc Gallagher Bassett | $122 | 160% |
| Wc Genex Care For Ohio | $122 | 160% |
| Wc Guard Insurance Company | $122 | 160% |
| Wc Hartford | $122 | 160% |
| Wc Liberty Mutual | $122 | 160% |
| Wc Meijers | $122 | 160% |
| Wc Michigan | $122 | 160% |
| Wc Mitchell Frankenmuth | $122 | 160% |
| Wc Pma | $122 | 160% |
| Wc Sedgwick | $122 | 160% |
| Wc Sentry | $122 | 160% |
| Wc Travelers | $122 | 160% |
| Wc Tristar | $122 | 160% |
| Wc Walmart | $122 | 160% |
| Wc Zurich | $122 | 160% |
| U Of M Health Plan | $163 | 214% |
| Employee Benefit Logistic | $170 | 223% |
| Bcn Domestic | $171 | 225% |
| Blue Benefit Administrators Of Massachusetts | $171 | 225% |
| Blue Care Network | $171 | 225% |
| Blue Distinction Transplant | $171 | 225% |
| Blue Shield - Ca | $171 | 225% |
| Blue Shield - Id (Regence) | $171 | 225% |
| Blue Shield - Ny Highmark Northeastern | $171 | 225% |
| Blue Shield - Ny Highmark Western | $171 | 225% |
| Blue Shield - Pa (Highmark) | $171 | 225% |
| Blue Shield - Wa (Regence) | $171 | 225% |
| Health Choices | $171 - $307 | 225% |
| Kaiser Domestic | $171 | 225% |
| Asr Health Benefits | $199 | 261% |
| Caresource | $199 | 261% |
| Hap | $199 - $359 | 261% |
| Varipro | $199 | 261% |
| Geha | $254 - $310 | 334% |
| Meritain | $254 | 334% |
| Access Health | $307 | 403% |
| Acclaim | $307 | 403% |
| Administrative Concepts | $307 | 403% |
| Allegeant | $307 | 403% |
| Ameriben | $307 | 403% |
| American Family | $307 | 403% |
| American Healthcare Alliance | $307 | 403% |
| American National | $307 | 403% |
| American Republic | $307 | 403% |
| Amerihealth | $307 | 403% |
| Aultcare | $307 | 403% |
| Automated Benefit Services | $307 | 403% |
| Auxiant | $307 | 403% |
| Benefit Administrative Systems,Llc | $307 | 403% |
| Boon Chapman | $307 | 403% |
| Cam Administrative Services | $307 | 403% |
| Christian Brother Services | $307 | 403% |
| Christian Brothers Holy Cross | $307 | 403% |
| Comprehensive Benefits | $307 | 403% |
| Continental Life Insurance | $307 | 403% |
| Custom Benefit Administrators | $307 | 403% |
| Employee Benefit Concepts | $307 | 403% |
| Employee Benefit Management | $307 | 403% |
| Enterprise Group Planning | $307 | 403% |
| Freedom Life Insurance Company | $307 | 403% |
| Group Administrators | $307 | 403% |
| Group Marketing Services | $307 | 403% |
| Guardian | $307 | 403% |
| Health America | $307 | 403% |
| Healthcare Management Admin | $307 | 403% |
| Healthez | $307 | 403% |
| Humana | $307 | 403% |
| Insight | $307 | 403% |
| Intercare | $307 | 403% |
| Jfp Benefit Management | $307 | 403% |
| Jp Farley Corporation | $307 | 403% |
| Key Benefit Administrator | $307 | 403% |
| Liberty Union Life Assurance Co | $307 | 403% |
| Lucent Health | $307 | 403% |
| Luminare Health | $307 | 403% |
| Luminare Health (Detroit) | $307 | 403% |
| Magnacare | $307 | 403% |
| Medben | $307 | 403% |
| Medcost | $307 | 403% |
| Medical Mutual | $307 | 403% |
| Mutual Health Services | $307 | 403% |
| Mutual Of Omaha | $307 | 403% |
| Ncas | $307 | 403% |
| Nippon Life Ins | $307 | 403% |
| Nova | $307 | 403% |
| Painters Union Insurance Fund | $307 | 403% |
| Physicians Mutual | $307 | 403% |
| Plumbers Local 98 Insurance Fund | $307 | 403% |
| Prairie States | $307 | 403% |
| Preferred One | $307 | 403% |
| Primary Physician Care | $307 | 403% |
| Professional Benefit Administrators | $307 | 403% |
| Siho Insurance Services | $307 | 403% |
| Sisco Benefits | $307 | 403% |
| The Loomis Company | $307 | 403% |
| Unicare | $307 | 403% |
| Us Health And Life | $307 | 403% |
| Valenz | $307 | 403% |
| Western & Southern Financial Group | $307 | 403% |
| Wps | $307 | 403% |
| Coventry | $316 | 415% |
| First Health | $316 | 415% |
| Hospice Of Michigan | $323 | 424% |
| Cigna | $326 | 428% |
| 1199 National Benefit Fund | $346 | 454% |
| Allied National Global Care | $346 | 454% |
| Asrm - Reliance Standard Life Insurance | $346 | 454% |
| Christian Care Ministry | $346 | 454% |
| Dean Health | $346 | 454% |
| Fallon Health | $346 | 454% |
| Family Life Insurance Company | $346 | 454% |
| Ghc Scw | $346 | 454% |
| Group Pension Administrators | $346 | 454% |
| International Benefit Administrators | $346 | 454% |
| Lifetime Benefit Solutions | $346 | 454% |
| Manhattan Life | $346 | 454% |
| Medi Share | $346 | 454% |
| Multiplan | $346 | 454% |
| Mvp | $346 | 454% |
| Pai | $346 | 454% |
| Pan-American Life | $346 | 454% |
| Paramount Hmo | $346 | 454% |
| Phcs | $346 | 454% |
| Trinity Health Share | $346 | 454% |
| Health Partners | $359 | 471% |
| Tufts Health Plan | $359 | 471% |
| Prime Health Services | $370 | 486% |
| Three Rivers Provider Network | $416 | 546% |
| Cmh Detroit Wayne Integrated Health Network | $462 | 607% |
| Cmh Jackson County/Lifeways | $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% |
| Magellan Behavioral Health | $462 | 607% |