CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $75
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Henry Ford Health West Bloomfield Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.98x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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%)
Insurance Median: $75 (98%)
Ins. Median: $75 (98% 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
Aetna $40 - $154 53%
Blue Cross Blue Shield $40 - $178 53%
Hap $40 - $123 53%
Mclaren $40 53%
Meridian Health Plan Of Mi $40 53%
Priority Health $40 - $114 53%
Molina $44 - $83 58%
Humana $60 - $99 79%
Amerihealth Michigan $61 - $74 80%
Hap Caresource $61 80%
Mclaren Health Plan Inc. $61 - $75 80%
Meridian $61 - $75 80%
Priority $64 - $75 84%
Pace Se Mi $72 95%
Molina Mi Health Link $74 97%
Bcn $75 - $113 98%
Cca Health Mi $75 98%
Health Alliance Plan Of Michigan $75 98%
Mount Carmel Health Plan $75 98%
United Behavioral Health, Inc. $75 98%
UnitedHealthcare $75 - $176 98%
Wellcare Ma $75 98%
Wellcare $76 100%
Vitalcore Physicians Group Of Mi $98 - $123 129%
Cigna $99 - $200 130%
Cofinity $112 147%
Mclaren Health $142 186%
Multiplan, Inc. $165 217%
University Of Michigan $197 259%
Cofinity Group Health $200 263%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6777 West Maple Road, W Bloomfield, MI 48322
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals