CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Colleton Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $87
  • Cash Discount Price: $456
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Colleton Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.14x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$456

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $456 (599%)
Insurance Median: $87 (114%)
Cash: $456 (599% of Medicare)
Ins. Median: $87 (114% 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 $64 84%
United $64 - $251 84%
Absolute Total Care $69 - $85 91%
Humana $70 - $426 92%
Arcadian $73 - $74 96%
Blue Cross Blue Shield $73 - $449 96%
Devoted Health $73 - $74 96%
Odyssey Hospice $73 - $74 96%
United Behavioral Health $73 - $74 96%
Aetna $74 - $274 97%
Boldage Pace $75 - $76 98%
Molina $75 - $85 98%
Wellcare $75 98%
Clover $77 101%
Eon Health $77 101%
Cigna $79 - $306 104%
Align Networks $82 108%
Universal Healthcare Group $88 116%
Nhc Advantage $90 118%
Pruitt Health $90 118%
Corvel Corporation $101 133%
Employer'S Health Network $101 133%
Prime Health $101 - $402 133%
Heritage Summit $108 142%
Sc State Employees $113 - $128 148%
Seven Corners $128 - $129 168%
Medical Development $154 202%
Naphcare $154 - $155 202%
Select Health $203 267%
Blue Choice Health Plan $206 - $215 271%
Employers Health Network $213 280%
Value Option $236 310%
Vocational Rehab $255 335%
Medcost $267 - $345 351%
Mhnet $355 466%
Evernorth $378 496%
Multiplan $402 528%
North American Administrators $402 528%
First Health $426 559%
Novanet $426 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals