CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Medical Center of McKinney

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $114
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Medical Center of McKinney is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.50x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $290 (381%)
Insurance Median: $114 (150%)
Cash: $290 (381% of Medicare)
Ins. Median: $114 (150% 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
Superior Health Plan $11 - $78 14%
Cigna $21 - $337 28%
United $29 - $79 38%
Oscar $33 - $88 43%
Unicare $41 - $421 54%
Healthcare Highways $53 - $142 70%
City Of Mckinney $55 - $147 72%
Blue Cross Blue Shield $70 - $430 92%
Fidelis Securecare $71 - $190 93%
Humana $71 - $555 93%
Amerigroup $74 97%
Devoted Health $74 97%
Mutual Of Omaha $74 97%
Triwest Veterans $74 97%
Wellmed $74 97%
Aetna $75 - $306 98%
Care N Care $75 98%
Integranet $77 101%
Wellcare $77 101%
American Health Plan Of Texas, Inc. $78 102%
Procare Advantge $78 102%
National Choicecare $79 - $211 104%
Provider Partners Health Plan $79 104%
Texas Independent Health Plan $79 104%
Cenpatico $81 106%
Molina $81 106%
Imperial Insurance Company $82 108%
Pc Texas Partners $86 - $232 113%
Physicians Coop Of Tx $86 - $232 113%
Rockport Health Group $86 - $232 113%
Universal Healthcare Group $89 117%
Averde Health, Inc $91 - $244 120%
Magellan Bh $94 - $253 123%
Value Options Behavioral Health $94 - $253 123%
Verda Health Plan $97 127%
Coastal Comp Health Networks $110 - $295 144%
Mega Life $110 - $295 144%
Multiplan Phcs $110 - $295 144%
Bravo Health $112 147%
Lewisville Isd/Dls Consulting $118 - $316 155%
Compsych Corporation $126 - $337 165%
Healthsmart Preferred Care $126 - $337 165%
Usa Managed Care $126 - $337 165%
Superior $133 - $167 175%
Galaxy Health Network $134 - $358 176%
Corvel Corporation $147 193%
Independent Medical Systems $157 - $421 206%
National Healthcare Solutions $157 - $421 206%
Molina Healthcare $195 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals