CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $123
  • Cash Discount Price: $945
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at HCA Houston Healthcare Kingwood is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $945. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.62x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$945

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $945 (1241%)
Insurance Median: $123 (162%)
Cash: $945 (1241% of Medicare)
Ins. Median: $123 (162% 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 $57 - $80 75%
Oscar $75 - $184 98%
Amerigroup $76 - $132 100%
Blue Cross Blue Shield $76 - $331 100%
Chc Harris Health $76 100%
Christus (Usfhp) $76 100%
Cigna $76 100%
Devoted Health $76 100%
Humana $76 - $756 100%
Kelsey Seybold $76 100%
Renaissance Ipa Radiology $76 100%
Triwest Health Alliance $76 100%
Triwest Healthcare Alliance $76 100%
Wellmed $76 100%
Aetna $77 - $435 101%
Van Lang Ipa $77 101%
United $78 - $425 102%
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%
Universal Healthcare Group $92 121%
Verda Health Plan $99 130%
Community Health Choice $111 146%
Superior $111 - $118 146%
Community Health Choice Mcd $123 162%
Usa Managed Care $145 - $803 190%
Corvel Corporation $151 198%
Texas Childrens Health Plans $157 - $224 206%
Omni Healthcare $160 210%
Molina Healthcare $164 215%
Texas Athletic Network $300 - $600 394%
Healthsmart Preferred Care $406 - $803 533%
Fidelis Securecare Of Tx $425 558%
Coventry National First Health $504 662%
Physicians Cooperative Of Texas $520 683%
Rockport Workers Comp $520 683%
Independent Medical System $567 745%
National Healthcare Solutions $567 745%
Southwest Medical $567 745%
Coastal Comp $614 806%
Multiplan $709 - $803 931%
Physicians, Inc $803 1054%
Affiliated Ppo $851 1118%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals