CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Carolinas Rehabilitation

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $169
Cash Discount Price: $177
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Carolinas Rehabilitation is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.22x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$177

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $177 (232%)

Insurance Median: $169 (222%)

Cash: $177 (232% of Medicare)

Ins. Median: $169 (222% 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 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerihealth Caritas	$24 - $137	32%
Carolina Complete Health	$24 - $140	32%
Healthy Blue	$24 - $140	32%
UnitedHealthcare	$24 - $232	32%
Wellcare	$24 - $140	32%
Blue Cross Blue Shield	$33 - $170	43%
Cigna	$72 - $238	95%
Humana	$74	97%
Aetna	$75 - $300	98%
Ambetter / Centene	$108 - $131	142%
Employers Health Network	$156	205%
Physician Reach Out	$177	232%
Medcost	$207 - $237	272%
Quik Trip	$229	301%
Choicecare	$275	361%
Healthgram	$282	370%
Private Health Care Systems	$290	381%
First Health	$300	394%
Beechstreet	$325	427%
Multiplan	$325	427%

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 $177.
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 Carolinas Rehabilitation 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.