CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: University Health System, Inc

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $146
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at University Health System, Inc is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.92x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

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: $81 (106%)
Insurance Median: $146 (192%)
Cash: $81 (106% of Medicare)
Ins. Median: $146 (192% 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 Cross Blue Shield $36 - $305 47%
UnitedHealthcare $57 - $228 75%
Cigna $71 - $247 93%
Humana $71 93%
Aetna $74 - $228 97%
Devoted Health $74 97%
Wellcare-Windsor Medadv $75 98%
American Health $76 100%
Medicare (plans) $76 100%
Nhc $76 100%
Wellpoint $76 - $79 100%
Fentress County Sheriffs Dept $130 171%
Multiplan $195 256%
Nx Health $195 256%
Phcs $195 256%
Naphcare $211 277%
Coventry $228 299%
Beechstreet $244 320%
Prime Health $244 - $325 320%
Seven Corners $244 320%
Usa $260 341%
Evolutions $292 383%
Galaxy $292 383%
Healthsmart $292 383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals