CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Medical City Dallas Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $146
  • Cash Discount Price: $354
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Medical City Dallas Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.92x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$354

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: $354 (465%)
Insurance Median: $146 (192%)
Cash: $354 (465% 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
Superior Health Plan $17 - $80 22%
UnitedHealthcare $27 - $421 35%
Cigna $34 - $260 45%
Religious Order Of Jehovah Witness $50 - $95 66%
Oscar $52 - $98 68%
United $53 - $102 70%
Unicare $60 - $473 79%
Humana $73 - $555 96%
Amerigroup $76 100%
Blue Cross Blue Shield $76 - $430 100%
Devoted Health $76 100%
Mutual Of Omaha $76 100%
Triwest Health Alliance $76 100%
Triwest Veterans $76 100%
Wellmed $76 100%
Aetna $77 - $279 101%
Care N Care $77 101%
Integranet $79 104%
Wellcare $79 104%
American Health Plan Of Texas, Inc. $80 105%
Procare Advantge $80 105%
Provider Partners Health Plan $81 106%
Texas Independent Health Plan $81 106%
Molina $83 109%
Healthcare Highways $84 - $160 110%
Imperial Insurance Company $84 110%
Healthcare Highways Ntx $87 - $166 114%
Universal Healthcare Group $92 121%
Prominence Health Plan $99 - $189 130%
Verda Health Plan $99 130%
City Of Mckinney $112 - $213 147%
Fidelis Securecare $112 - $213 147%
Bravo Health $115 151%
Emerging Therapy Solutions $122 - $331 160%
National Choicecare $124 - $236 163%
Pc Texas Partners $137 - $260 180%
Physicians Coop Of Tx $137 - $260 180%
Rockport Health Group $137 - $260 180%
Superior $137 - $171 180%
Texas Instruments $139 - $265 183%
Averde Health, Inc $144 - $274 189%
Usa Managed Care $145 - $378 190%
Corvel Corporation $151 198%
Coastal Comp Health Networks $174 - $331 228%
Mega Life $174 - $331 228%
Multiplan Phcs $174 - $331 228%
Healthsmart Preferred Care $176 - $336 231%
Lewisville Isd/Dls Consulting $186 - $355 244%
Usc Health Services $199 - $378 261%
Molina Healthcare $200 263%
Galaxy Health Network $211 - $402 277%
Independent Medical Systems $248 - $473 326%
National Healthcare Solutions $248 - $473 326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals