CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercy Hospital Carthage

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 1.0× the $76 Medicare rate · typically $73–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $76 Fair price $74 This hospital $73 Cash price $234 Hospital's list price $361

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $73

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Speech therapy (language evaluation) is about $74 (about 1.0× the $76 Medicare rate). Mercy Hospital Carthage charges insurers about $73, or about $234 in cash — about the fair price. Located in Carthage, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $57 - $446 75%
Blue Cross Blue Shieldmajor $57 - $185 75%
Aetnamajor $57 - $441 75%
Cignamajor $57 - $446 75%
Humanamajor $57 - $149 75%
Ambetter (Centene) $114 - $272 150%
HealthLink $135 - $461 177%
Medica $180 - $430 236%
+ 36 smaller / regional plans $57 - $446
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3125 Dr Russell Smith Way, Carthage, MO 64836
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals