CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $211
- Cash Discount Price: $229
- vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercy Hospital Ardmore, Inc is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.77x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$229
Average discount available for prompt cash payment at this facility.
Insurance Median
$211
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: $229 (301%)
Insurance Median: $211 (277%)
Cash: $229 (301% of Medicare)
Ins. Median: $211 (277% 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 277% of the Medicare baseline (a markup of 177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Aetna | $68 - $317 | 89% |
| Humana | $68 - $344 | 89% |
| Medicaid / KanCare | $68 - $96 | 89% |
| Blue Cross Blue Shield | $70 | 92% |
| Cherokee Nation Health Serv Contracted [320066] | $70 | 92% |
| Cross Timbers Hospice [20098] | $70 | 92% |
| Dept Of Veteran Affairs Contracted [320106] | $70 | 92% |
| Elara Caring Aspire Hospice Contracted [320433] | $70 | 92% |
| Elara Caring Aspire Hospice [20433] | $70 | 92% |
| Halo Hcr Inc Hospice Contracted [320432] | $70 | 92% |
| Halo Hcr Inc Hospice [20432] | $70 | 92% |
| Independent Health [20197] | $70 | 92% |
| Indian Health Service Contracted [320198] | $70 | 92% |
| Kindful Hospice Contracted [320434] | $70 | 92% |
| Kindful Hospice [20434] | $70 | 92% |
| Medical Associates Health [20444] | $70 | 92% |
| Medicare (plans) | $70 - $499 | 92% |
| Mercy Hospice Okc [20252] | $70 | 92% |
| Provider Partners Health Plans Contracted [320450] | $70 | 92% |
| Qual Choice Contracted [320325] | $70 | 92% |
| Tribute Health Plan Mcr Contracted [320338] | $70 | 92% |
| Tricare | $70 | 92% |
| Globalhealth Contracted [320145] | $71 | 93% |
| UnitedHealthcare | $71 - $112 | 93% |
| Cigna | $72 - $303 | 95% |
| Healthcare Highways Plus Contracted [320175] | $80 - $299 | 105% |
| Webtpa Contracted [320417] | $86 - $210 | 113% |
| Osma Health Contracted [320292] | $92 - $225 | 121% |
| Medica Contracted [320239] | $95 - $499 | 125% |
| Ambetter / Centene | $96 | 126% |
| Home State Health Plan Contracted [320187] | $96 | 126% |
| Novasys Contracted [320285] | $96 | 126% |
| Community Care Contracted [320080] | $107 - $349 | 141% |
| United Medical Resources Contracted [320454] | $112 - $324 | 147% |
| Health Choice Contracted [320166] | $119 | 156% |
| Aither Health Contracted [320449] | $123 - $299 | 162% |
| Auxiant Contracted [320462] | $123 - $324 | 162% |
| Benefit Management Contracted [320052] | $123 - $324 | 162% |
| Ebms Contracted [320493] | $123 - $299 | 162% |
| Healthlink Contracted [320179] | $123 - $324 | 162% |
| Imagine 360 Contracted [320494] | $123 - $299 | 162% |
| Mercy Benefit Admin Contracted [320251] | $123 - $324 | 162% |
| Quik Trip Contracted [320447] | $123 - $299 | 162% |
| Reflect Health Contracted [320492] | $123 - $299 | 162% |
| Show-Me Health Administrators Contracted [320483] | $123 - $299 | 162% |
| Workers Comp [20426] | $123 - $299 | 162% |
| Yuzu Health Contracted [320521] | $123 - $299 | 162% |
| Federal Medical Center Contracted [320127] | $133 - $324 | 175% |
| Healthscope Contracted [320182] | $133 - $324 | 175% |
| Healthsmart Accel Contracted [320183] | $133 - $324 | 175% |
| Healthsmart Preferred Care Contracted [320184] | $133 - $324 | 175% |
| Point C Contracted [320238] | $133 - $324 | 175% |
| Preferred Health Plan Contracted [320522] | $133 - $324 | 175% |
| Tri State Healthcare Coalition Contracted [320379] | $133 - $324 | 175% |
| First Health Contracted [320128] | $136 - $332 | 179% |
| Globalhealth Contracted [320144] | $139 - $339 | 183% |
| Private Health Care Systems Contracted [320320] | $154 - $399 | 202% |
| Preferred Community Choice Contracted [320311] | $156 - $379 | 205% |
| Kempton Contracted [320214] | $158 | 207% |
| Multiplan Contracted [320270] | $164 - $449 | 215% |