CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $91
  • Cash Discount Price: $924
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Houston Healthcare Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $924. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.20x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$924

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $924 (1213%)
Insurance Median: $91 (120%)
Cash: $924 (1213% of Medicare)
Ins. Median: $91 (120% 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 $55 - $80 72%
Oscar $75 - $194 98%
Blue Cross Blue Shield $76 - $348 100%
Christus (Usfhp) $76 100%
Cigna $76 100%
Devoted Health $76 100%
Humana $76 - $756 100%
Triwest Health Alliance $76 100%
Triwest Healthcare Alliance $76 100%
Van Lang Ipa $77 101%
Wellmed $77 101%
United $78 - $447 102%
Integranet Amerigroup Ipa $79 104%
Wellcare $79 104%
American Health Plan $80 105%
Procare Advantage $80 105%
Shared Health $80 105%
Provider Partners Health Plan Of Texas $81 106%
Molina $83 109%
Verda Health Plan $99 130%
Community Health Choice $111 146%
Superior $111 - $118 146%
Community Health Choice Mcd $118 - $129 155%
Molina Healthcare $164 215%
Aetna $243 - $435 319%
Coventry National First Health $485 - $530 637%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals