CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Mercy Hospital Aurora
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $481
- Cash Discount Price: $631
- vs. Medicare Baseline: 6.32x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercy Hospital Aurora is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 6.32x the Medicare baseline. Located in 500 Porter Avenue, Aurora, MO.
Cash / Self-Pay
$631
Average discount available for prompt cash payment at this facility.
Insurance Median
$481
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: $631 (829%)
Insurance Median: $481 (632%)
Cash: $631 (829% of Medicare)
Ins. Median: $481 (632% 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 632% of the Medicare baseline (a markup of 532%). 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 |
|---|---|---|
| Medicaid / KanCare | $22 - $901 | 29% |
| Aetna | $42 - $1,582 | 55% |
| Blue Cross Blue Shield | $42 - $1,777 | 55% |
| Cherokee Nation Health Serv Contracted [320066] | $42 - $506 | 55% |
| Cigna | $42 - $1,510 | 55% |
| Cross Timbers Hospice [20098] | $42 - $506 | 55% |
| Elara Caring Aspire Hospice [20433] | $42 - $506 | 55% |
| Globalhealth Contracted [320145] | $42 - $506 | 55% |
| Halo Hcr Inc Hospice Contracted [320432] | $42 - $506 | 55% |
| Halo Hcr Inc Hospice [20432] | $42 - $506 | 55% |
| Humana | $42 - $1,510 | 55% |
| Indian Health Service Contracted [320198] | $42 - $506 | 55% |
| Kindful Hospice Contracted [320434] | $42 - $506 | 55% |
| Kindful Hospice [20434] | $42 - $506 | 55% |
| Medical Associates Health Contracted [320444] | $42 - $506 | 55% |
| Medicare (plans) | $42 - $526 | 55% |
| Mercy Hospice Okc [20252] | $42 - $506 | 55% |
| Mercy Mgd Behavioral Health Contracted [320259] | $42 - $506 | 55% |
| Pace Of The Ozarks Contracted [320518] | $42 - $506 | 55% |
| Provider Partners Health Plans Contracted [320450] | $42 - $506 | 55% |
| Qual Choice Contracted [320325] | $42 - $506 | 55% |
| UnitedHealthcare | $42 - $1,688 | 55% |
| Dept Of Veteran Affairs Contracted [320106] | $43 - $517 | 56% |
| Tricare | $43 - $517 | 56% |
| Healthscope Contracted [320182] | $55 - $655 | 72% |
| Centivo Contracted [320505] | $59 - $711 | 77% |
| Administrative Payor Contracted [320005] | $67 - $800 | 88% |
| Ambetter / Centene | $75 - $901 | 98% |
| Home State Health Plan Contracted [320187] | $75 - $901 | 98% |
| Novasys Contracted [320285] | $75 - $901 | 98% |
| Healthlink Contracted [320179] | $96 - $1,599 | 126% |
| Preferred Health Plan Contracted [320522] | $96 - $1,155 | 126% |
| Health Systems Inc Contracted [320174] | $118 - $1,422 | 155% |
| Insurance System Inc Contracted [320465] | $118 - $1,422 | 155% |
| Point C Contracted [320238] | $118 - $1,510 | 155% |
| Point C [20238] | $118 - $1,422 | 155% |
| Workers Comp [20426] | $118 - $1,510 | 155% |
| Medica Contracted [320239] | $125 - $1,503 | 164% |
| 90 Degree Benefits Contracted [320436] | $126 - $1,510 | 165% |
| Aither Health Contracted [320449] | $126 - $1,510 | 165% |
| American Healthcare Alliance Contracted [320020] | $126 - $1,510 | 165% |
| Auxiant Contracted [320462] | $126 - $1,510 | 165% |
| Benefit Management Contracted [320052] | $126 - $1,510 | 165% |
| Ebms Contracted [320493] | $126 - $1,510 | 165% |
| Edison Health Solutions Contracted [320502] | $126 - $1,510 | 165% |
| Evolutions Health Care Contracted [320124] | $126 - $1,510 | 165% |
| First Health Contracted [320128] | $126 - $1,510 | 165% |
| Imagine 360 Contracted [320494] | $126 - $1,510 | 165% |
| Mercy Benefit Admin Contracted [320251] | $126 - $1,510 | 165% |
| Reflect Health Contracted [320492] | $126 - $1,510 | 165% |
| Show-Me Health Administrators Contracted [320483] | $126 - $1,510 | 165% |
| United Medical Resources Contracted [320454] | $126 - $1,564 | 165% |
| Yuzu Health Contracted [320521] | $126 - $1,510 | 165% |
| Usa Managed Care Org Contracted [320429] | $130 - $1,564 | 171% |
| Multiplan Contracted [320270] | $141 - $1,688 | 185% |
| Private Health Care Systems Contracted [320320] | $141 - $1,688 | 185% |