CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $80
Cash Discount Price: $231
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Memorial Mission Hospital and Asheville Surgery Ce is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.05x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$231

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $231 (303%)

Insurance Median: $80 (105%)

Cash: $231 (303% of Medicare)

Ins. Median: $80 (105% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$30 - $55	39%
United	$30 - $177	39%
Amerihealth	$31 - $57	41%
Partners Health Management	$31 - $58	41%
Vaya Health	$31 - $58	41%
Wellcare	$31 - $76	41%
Apex Health	$32 - $60	42%
Oscar	$58 - $107	76%
Cigna	$60 - $149	79%
Caresource	$71 - $132	93%
Alignment Health	$74	97%
United Behavioral Health	$74	97%
Aetna	$75 - $217	98%
Amerihealth Caritas	$76 - $141	100%
Humana	$76 - $77	100%
Provider Partners Health Plan	$78	102%
Pruitthealth Premier	$78	102%
Troy Healthcare	$80	105%
Healthteam Advantage	$81	106%
Longevity Health Plan	$89	117%
Medcost	$91 - $255	120%
Magellan	$97 - $180	127%
Magellan Behavioral Health	$97 - $180	127%
Multiplan	$129 - $240	169%
Avalon Administrative Services	$137 - $255	180%
Prime Health	$142 - $270	186%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $231.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Mission Hospital and Asheville Surgery Ce is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.