CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Warm Springs Rehabilitation Hospital of San Antonio

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $112
  • Cash Discount Price: $442
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Warm Springs Rehabilitation Hospital of San Antonio is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $442. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.47x the Medicare baseline. Located in 5101 Medical Dr, San Antonio, TX.
Cash / Self-Pay
$442

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $442 (580%)
Insurance Median: $112 (147%)
Cash: $442 (580% of Medicare)
Ins. Median: $112 (147% 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
Aetna $44 - $52 58%
Curative $55 72%
Cigna $70 - $115 92%
Humana $70 92%
Baylor Scott And White Health Plan $73 - $120 96%
Blue Cross Blue Shield $73 - $79 96%
Christus Health Plan $73 96%
Ilumed Aco Reach $73 96%
Integranet Health $73 96%
Molina Healthcare $73 96%
Premier Health $73 96%
Wellmed $73 96%
Wellpoint (Amerigroup) $73 96%
Provider Partners Health Plan $77 101%
Community First Health Plans $80 - $105 105%
Integrated Medical Solutions $81 106%
Velocity Provider Ppo Network $88 - $332 116%
Ambetter / Centene $90 118%
UnitedHealthcare $90 118%
Prime Health Services $95 - $376 125%
Independent Medical Systems $102 134%
Imperial Insurance Of Texas $177 232%
Scan Health Plan $177 232%
Ninety Degree Benefits $221 290%
Healthcare Highways $243 319%
America'S Choice Provider Network $310 407%
Galaxy Health $332 436%
Provider Network Of America $332 436%
Quik Trip $332 436%
Usa Managed Care Organization $332 436%
Multiplan/Phcs $354 465%
Three Rivers $354 465%
Medincrease $398 523%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5101 Medical Dr, San Antonio, TX 78229
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL