CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Mount Carmel Dublin
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $105
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mount Carmel Dublin is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.38x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$146
Average discount available for prompt cash payment at this facility.
Insurance Median
$105
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: $146 (192%)
Insurance Median: $105 (138%)
Cash: $146 (192% of Medicare)
Ins. Median: $105 (138% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $65 - $77 | 85% |
| Aetna | $72 - $101 | 95% |
| Blue Cross Blue Shield | $72 - $224 | 95% |
| UnitedHealthcare | $74 - $283 | 97% |
| The Health Plan | $75 | 98% |
| Rural Carrier Health Benefit Plan | $96 | 126% |
| Geha | $101 - $283 | 133% |
| Gravie Admin Services | $101 | 133% |
| Healthez | $101 | 133% |
| Meritain | $101 | 133% |
| Webtpa | $101 | 133% |
| Access Health | $105 | 138% |
| Acclaim | $105 | 138% |
| Administrative Concepts | $105 | 138% |
| Allegeant | $105 | 138% |
| Allied Benefit Systems | $105 | 138% |
| American Family | $105 | 138% |
| American Healthcare Alliance | $105 | 138% |
| American National | $105 | 138% |
| American Republic | $105 | 138% |
| Amerihealth | $105 | 138% |
| Aultcare | $105 | 138% |
| Automated Benefit Services | $105 | 138% |
| Auxiant | $105 | 138% |
| Benefit Administrative Systems,Llc | $105 | 138% |
| Boon Chapman | $105 | 138% |
| Cam Administrative Services | $105 | 138% |
| Christian Brother Services | $105 | 138% |
| Christian Brothers Holy Cross | $105 | 138% |
| Claimchoice Adminstrators | $105 | 138% |
| Comprehensive Benefits | $105 | 138% |
| Continental Life Insurance | $105 | 138% |
| Coventry | $105 | 138% |
| Custom Benefit Administrators | $105 | 138% |
| Cypress Benefit Administrators | $105 | 138% |
| Employee Benefit Concepts | $105 | 138% |
| Employee Benefit Management | $105 | 138% |
| Forest County Potawatomi | $105 | 138% |
| Freedom Life Insurance Company | $105 | 138% |
| Group Administrators | $105 | 138% |
| Group Marketing Services | $105 | 138% |
| Group Pension Administrators | $105 | 138% |
| Guardian | $105 | 138% |
| Health America | $105 | 138% |
| Health Choices | $105 | 138% |
| Healthcare Management Admin | $105 | 138% |
| Insight | $105 | 138% |
| Intercare | $105 | 138% |
| Jfp Benefit Management | $105 | 138% |
| Jp Farley Corporation | $105 | 138% |
| Key Benefit Administrator | $105 | 138% |
| Liberty Union Life Assurance Co | $105 | 138% |
| Lucent Health | $105 | 138% |
| Luminare Health | $105 | 138% |
| Magnacare | $105 | 138% |
| Medcost | $105 | 138% |
| Mutual Health Services | $105 | 138% |
| Mutual Of Omaha | $105 | 138% |
| Ncas | $105 | 138% |
| Nippon Life Ins | $105 | 138% |
| Nova | $105 | 138% |
| Painters Union Insurance Fund | $105 | 138% |
| Physicians Mutual | $105 | 138% |
| Plumbers Local 98 Insurance Fund | $105 | 138% |
| Prairie States | $105 | 138% |
| Preferred One | $105 | 138% |
| Primary Physician Care | $105 | 138% |
| Professional Benefit Administrators | $105 | 138% |
| Secureone Preferred United Plans | $105 | 138% |
| Siho Insurance Services | $105 | 138% |
| Sisco Benefits | $105 | 138% |
| The Loomis Company | $105 | 138% |
| Trustmark Small Business Benefits | $105 | 138% |
| U Of M Health Plan | $105 | 138% |
| Unicare | $105 | 138% |
| Unified Group Services | $105 | 138% |
| Us Health And Life | $105 | 138% |
| Valenz | $105 | 138% |
| Varipro | $105 | 138% |
| Wps | $105 | 138% |
| Humana | $115 - $224 | 151% |
| First Health | $118 | 155% |
| Paramount Hmo | $118 | 155% |
| Oscar | $122 | 160% |
| Medben | $134 - $168 | 176% |
| Medical Mutual | $134 - $194 | 176% |
| Consociate | $137 | 180% |
| Health Ohio Network | $137 | 180% |
| Enterprise Group Planning | $142 | 186% |
| Custom Design Benefits | $154 | 202% |
| Quality Care Partners | $167 | 219% |
| Healthlink Inc | $168 | 221% |
| Medical Benefits Mutual | $168 | 221% |
| Ohio Health Choice | $168 | 221% |
| Ohio Ppo Connect | $168 | 221% |
| Ameriben | $179 | 235% |
| Luminare Health (Detroit) | $179 | 235% |
| Medi Share | $179 | 235% |
| Multiplan | $179 | 235% |
| Ohiohealthy | $179 | 235% |
| Osu Not Independent Choice | $179 | 235% |
| Phcs | $179 | 235% |
| Philadelphia American Life Insurance | $179 | 235% |
| Twin Valley Psychiatric | $179 | 235% |
| Health Smart | $190 | 250% |
| Western & Southern Financial Group | $194 | 255% |
| Medicaid / KanCare | $224 | 294% |
| American Postal Workers Secondary | $232 | 305% |
| Cigna | $232 | 305% |
| Health Partners | $232 | 305% |
| Healthgram | $232 | 305% |
| Mvp | $232 | 305% |
| Priority Health | $232 | 305% |