CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $134
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ohiohealth Morrow County Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.76x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $230 (302%)
Insurance Median: $134 (176%)
Cash: $230 (302% of Medicare)
Ins. Median: $134 (176% 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.

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
Medicaid / KanCare $87 - $89 114%
UnitedHealthcare $87 - $290 114%
Blue Cross Blue Shield $88 - $274 116%
Amerihealth Caritas - All Plans $90 118%
Humana $90 - $330 118%
Medicare (plans) $131 - $134 172%
Aetna $134 - $305 176%
Molina Exchange - All Other Plans $143 188%
Caresource Marketplace - All Other Plans $164 215%
Medical Mutual Of Ohio Marketplace $266 349%
Ohiohealthy Network - All Other Plans $266 349%
Ohiohealthy Preferred $266 349%
Medical Mutual Of Ohio Comm - All Other Plans $287 377%
Medical Mutual Of Ohio - Admin Serv $301 395%
Phcs - All Plans $326 428%
Cigna $333 437%
Multiplan - All Plans $337 443%
Healthstar Comm - All Plans $340 446%
Beech Street - All Plans $344 452%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals