CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Mercy Hospital Logan County
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $267
- Cash Discount Price: $437
- vs. Medicare Baseline: 3.51x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercy Hospital Logan County is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.51x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$437
Average discount available for prompt cash payment at this facility.
Insurance Median
$267
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: $437 (574%)
Insurance Median: $267 (351%)
Cash: $437 (574% of Medicare)
Ins. Median: $267 (351% 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 351% of the Medicare baseline (a markup of 251%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Tricare | $52 - $260 | 68% |
| Aetna | $54 - $615 | 71% |
| Blue Cross Blue Shield | $54 - $503 | 71% |
| Cherokee Nation Health Serv Contracted [320066] | $54 - $267 | 71% |
| Cross Timbers Hospice [20098] | $54 - $267 | 71% |
| Dept Of Veteran Affairs Contracted [320106] | $54 - $267 | 71% |
| Elara Caring Aspire Hospice Contracted [320433] | $54 - $267 | 71% |
| Elara Caring Aspire Hospice [20433] | $54 - $267 | 71% |
| Halo Hcr Inc Hospice Contracted [320432] | $54 - $267 | 71% |
| Halo Hcr Inc Hospice [20432] | $54 - $267 | 71% |
| Humana | $54 - $838 | 71% |
| Independent Health [20197] | $54 - $267 | 71% |
| Indian Health Service Contracted [320198] | $54 - $267 | 71% |
| Kindful Hospice Contracted [320434] | $54 - $267 | 71% |
| Kindful Hospice [20434] | $54 - $267 | 71% |
| Medical Associates Health [20444] | $54 - $267 | 71% |
| Medicare (plans) | $54 - $524 | 71% |
| Mercy Hospice Okc [20252] | $54 - $267 | 71% |
| Provider Partners Health Plans Contracted [320450] | $54 - $267 | 71% |
| Qual Choice Contracted [320325] | $54 - $267 | 71% |
| Tribute Health Plan Mcr Contracted [320338] | $54 - $267 | 71% |
| UnitedHealthcare | $54 - $734 | 71% |
| Cigna | $55 - $891 | 72% |
| Globalhealth Contracted [320145] | $55 - $273 | 72% |
| Ambetter / Centene | $63 - $314 | 83% |
| Home State Health Plan Contracted [320187] | $63 - $314 | 83% |
| Medicaid / KanCare | $63 - $314 | 83% |
| Novasys Contracted [320285] | $63 - $314 | 83% |
| Webtpa Contracted [320417] | $88 - $440 | 116% |
| Medica Contracted [320239] | $105 - $524 | 138% |
| Health Choice Contracted [320166] | $119 | 156% |
| Aither Health Contracted [320449] | $126 - $891 | 165% |
| Auxiant Contracted [320462] | $126 - $891 | 165% |
| Federal Medical Center Contracted [320127] | $126 - $629 | 165% |
| Healthlink Contracted [320179] | $126 - $891 | 165% |
| Healthscope Contracted [320182] | $126 - $629 | 165% |
| Mercy Benefit Admin Contracted [320251] | $126 - $891 | 165% |
| Point C Contracted [320238] | $126 - $629 | 165% |
| Preferred Health Plan Contracted [320522] | $126 - $629 | 165% |
| Quik Trip Contracted [320447] | $126 - $629 | 165% |
| Show-Me Health Administrators Contracted [320483] | $126 - $629 | 165% |
| United Medical Resources Contracted [320454] | $126 - $734 | 165% |
| Osma Health Contracted [320292] | $147 - $734 | 193% |
| United Behavioral Health Contracted [320390] | $147 - $734 | 193% |
| Benefit Management Contracted [320052] | $158 - $943 | 207% |
| Globalhealth Contracted [320144] | $158 - $786 | 207% |
| Healthcare Highways Plus Contracted [320175] | $158 - $786 | 207% |
| Private Health Care Systems Contracted [320320] | $158 - $838 | 207% |
| First Health Contracted [320128] | $164 - $820 | 215% |
| Multiplan Contracted [320270] | $168 - $943 | 221% |
| Ebms Contracted [320493] | $178 - $891 | 234% |
| Imagine 360 Contracted [320494] | $178 - $891 | 234% |
| Preferred Community Choice Contracted [320311] | $178 - $891 | 234% |
| Reflect Health Contracted [320492] | $178 - $891 | 234% |
| Yuzu Health Contracted [320521] | $178 - $891 | 234% |
| Community Care Contracted [320080] | $222 | 292% |