CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Mercy Hospital Lincoln
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $356
- Cash Discount Price: $493
- vs. Medicare Baseline: 4.67x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercy Hospital Lincoln is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.67x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$493
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: $493 (647%)
Insurance Median: $356 (467%)
Cash: $493 (647% 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.
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 |
|---|---|---|
| Medicaid / KanCare | $11 - $816 | 14% |
| Aetna | $25 - $1,164 | 33% |
| Tricare | $35 - $380 | 46% |
| Medicare (plans) | $36 - $1,777 | 47% |
| UnitedHealthcare | $36 - $1,173 | 47% |
| American Health Advantage Of Mo Mcr [10473] | $39 - $418 | 51% |
| Blue Cross Blue Shield | $39 - $844 | 51% |
| Cherokee Nation Health Serv Contracted [320066] | $39 - $418 | 51% |
| Cross Timbers Hospice [20098] | $39 - $418 | 51% |
| Dept Of Veteran Affairs Contracted [320106] | $39 - $418 | 51% |
| Elara Caring Aspire Hospice Contracted [320433] | $39 - $418 | 51% |
| Elara Caring Aspire Hospice [20433] | $39 - $418 | 51% |
| Globalhealth Contracted [320145] | $39 - $418 | 51% |
| Halo Hcr Inc Hospice Contracted [320432] | $39 - $418 | 51% |
| Halo Hcr Inc Hospice [20432] | $39 - $418 | 51% |
| Humana | $39 - $1,599 | 51% |
| Indian Health Service Contracted [320198] | $39 - $418 | 51% |
| Kindful Hospice Contracted [320434] | $39 - $418 | 51% |
| Kindful Hospice [20434] | $39 - $418 | 51% |
| Mercy Hospice Okc [20252] | $39 - $418 | 51% |
| Pace Of The Ozarks Contracted [320518] | $39 - $418 | 51% |
| Provider Partners Health Plans Contracted [320450] | $39 - $416 | 51% |
| Qual Choice Contracted [320325] | $39 - $418 | 51% |
| Cigna | $41 - $1,475 | 54% |
| Centivo Contracted [320505] | $60 - $645 | 79% |
| Medica Contracted [320239] | $69 - $746 | 91% |
| Ambetter / Centene | $76 - $816 | 100% |
| Home State Health Plan Contracted [320187] | $76 - $816 | 100% |
| Novasys Contracted [320285] | $76 - $816 | 100% |
| Hope Trust Contracted [320488] | $82 - $880 | 108% |
| Health Choices Contracted [320448] | $99 - $1,066 | 130% |
| Health Choices [20448] | $99 - $1,066 | 130% |
| Medical Associates Health Contracted [320444] | $99 - $1,066 | 130% |
| First Health Contracted [320128] | $108 - $1,333 | 142% |
| United Medical Resources Contracted [320454] | $109 - $1,173 | 143% |
| Mercy Mgd Behavioral Health Contracted [320259] | $124 - $1,333 | 163% |
| Multiplan Contracted [320270] | $124 - $1,333 | 163% |
| Private Health Care Systems Contracted [320320] | $124 - $1,333 | 163% |
| Workers Comp [20426] | $124 - $1,422 | 163% |
| Healthlink Contracted [320179] | $134 - $1,582 | 176% |
| Aither Health Contracted [320449] | $140 - $1,510 | 184% |
| Aither Health [20449] | $140 - $1,510 | 184% |
| Auxiant Contracted [320462] | $140 - $1,510 | 184% |
| Ebms Contracted [320493] | $140 - $1,510 | 184% |
| Edison Health Solutions Contracted [320502] | $140 - $1,510 | 184% |
| Federal Medical Center Contracted [320127] | $140 - $1,510 | 184% |
| Imagine 360 Contracted [320494] | $140 - $1,510 | 184% |
| Insurance System Inc Contracted [320465] | $140 - $1,510 | 184% |
| Mercy Benefit Admin Contracted [320251] | $140 - $1,510 | 184% |
| Mercy Benefit Admin [20251] | $140 - $1,510 | 184% |
| Point C Contracted [320238] | $140 - $1,510 | 184% |
| Preferred Health Plan Contracted [320522] | $140 - $1,510 | 184% |
| Reflect Health Contracted [320492] | $140 - $1,510 | 184% |
| Show-Me Health Administrators Contracted [320483] | $140 - $1,510 | 184% |
| Tri State Healthcare Coalition Contracted [320379] | $140 - $1,510 | 184% |
| Yuzu Health Contracted [320521] | $140 - $1,510 | 184% |