CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Cannon Memorial Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $113
- Cash Discount Price: $102
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Cannon Memorial Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.48x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$102
Average discount available for prompt cash payment at this facility.
Insurance Median
$113
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: $102 (134%)
Insurance Median: $113 (148%)
Cash: $102 (134% of Medicare)
Ins. Median: $113 (148% 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 |
|---|---|---|
| Blue Choice Health Plan [922] | $43 - $267 | 56% |
| Blue Cross Blue Shield | $43 - $442 | 56% |
| Planned Administrators [886] | $43 - $238 | 56% |
| Thomas Cooper & Company [315] | $43 - $238 | 56% |
| Aetna | $71 - $264 | 93% |
| Medicare (plans) | $71 - $465 | 93% |
| UnitedHealthcare | $71 - $465 | 93% |
| Vaccn - Va Community Care Network [16] | $71 | 93% |
| Veterans Administration [633] | $71 | 93% |
| Devoted Health Alt Payer [9401] | $72 | 95% |
| Devoted Health [94] | $72 | 95% |
| Humana | $72 - $335 | 95% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $73 | 96% |
| Absolute Total Care Mcr Plans [41] | $73 | 96% |
| Champva [604] | $73 | 96% |
| Cigna | $73 - $465 | 96% |
| Molina Dual Options Alt Payer [1501] | $73 | 96% |
| Molina Dual Options [15] | $73 | 96% |
| Tricare | $73 | 96% |
| First Choice Vip Careplus Alt Payer [3301] | $74 | 97% |
| First Choice Vip [33] | $74 | 97% |
| Nhc Advantage Alt Payer [6101] | $74 | 97% |
| Nhc Advantage [61] | $74 | 97% |
| Bright Health Alt Payer [1001] | $80 | 105% |
| Employee Benefit Management Services [869] | $98 - $130 | 129% |
| Bright Health [11] | $100 | 131% |
| Ambetter / Centene | $101 | 133% |
| First Choice Next [96] | $103 | 135% |
| Molina Marketplace [97] | $103 | 135% |
| Mail Handlers Benefit Plan [327] | $113 - $264 | 148% |
| Rural Carrier Benefit Plan [406] | $113 - $264 | 148% |
| Workers Compensation [622] | $113 | 148% |
| Geha [302] | $116 - $248 | 152% |
| Golden Rule Ins Co [584] | $116 - $248 | 152% |
| Nalc Health Benefit Plan [291] | $119 - $277 | 156% |
| Preferred Administrators [19] | $122 - $279 | 160% |
| Edison Health Solutions [95] | $124 | 163% |
| Healthscope [98] | $124 | 163% |
| Medcost [206] | $134 - $418 | 176% |
| Medicaid / KanCare | $174 - $465 | 228% |
| Select Health Of Sc [637] | $174 | 228% |
| Phcs [940] | $180 - $307 | 236% |
| Absolute Total Care [58] | $182 | 239% |
| Coventry Health [245] | $291 - $335 | 382% |
| Other Hospital Payers [1991] | $349 - $465 | 458% |
| American Continental Ins [778] | $465 | 611% |
| American Republic Life Ins [722] | $465 | 611% |
| Business Office [6000] | $465 | 611% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $465 | 611% |
| First Health [946] | $465 | 611% |
| Guarantee Trust Life Insurance [236] | $465 | 611% |
| Home Health Infusion Payer [6001] | $465 | 611% |
| Manhattan Life Ins Co [932] | $465 | 611% |
| Miscellaneous Commercial [1] | $465 | 611% |
| New Era Life Ins Co [437] | $465 | 611% |
| Non-Contracted [22] | $465 | 611% |
| Physicians Mutual [773] | $465 | 611% |
| Reference Based Pricing/Limited Plan [21] | $465 | 611% |
| State Farm Ins Co [373] | $465 | 611% |
| Sterling Investors Life [244] | $465 | 611% |
| Supermed/Med Mutual Of Ohio [539] | $465 | 611% |
| United American Ins Co [277] | $465 | 611% |