CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Inspira Medical Center Mullica Hill

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $83
Cash Discount Price: $341
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Inspira Medical Center Mullica Hill is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.09x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$341

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $341 (448%)

Insurance Median: $83 (109%)

Cash: $341 (448% of Medicare)

Ins. Median: $83 (109% 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
Horizon Nj Health	$60	79%
UnitedHealthcare	$62 - $131	81%
Aetna	$69 - $174	91%
Fidelis Care of Nj	$69	91%
Wellpoint	$70	92%
Braven Health	$81	106%
Clover Health	$81	106%
Horizon Nj Total Care	$81	106%
Medicare (plans)	$81	106%
Wellcare Dual Liberty	$81	106%
Wellpoint Full Dual Advantage	$81	106%
Healthspring	$83	109%
Humana	$85	112%
Jefferson Health Plan	$87	114%
Oxford Health Plans	$131	172%
Cigna	$139	183%
Amerihealth	$142 - $163	186%
Blue Cross Blue Shield	$142 - $163	186%
Ambetter / Centene	$166	218%

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 $341.
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 Inspira Medical Center Mullica Hill 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.