Speech therapy (language evaluation)
Facility: PAM Rehabilitation Hospital of Round Rock
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $77
- Cash Discount Price: $112
- vs. Medicare Baseline: 1.01x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Whole Foods (Employers Health Network) | $26 | 34% |
| Aetna | $34 | 45% |
| Blue Cross Blue Shield | $45 - $73 | 59% |
| Curative | $55 | 72% |
| Seton Health Plan | $56 | 74% |
| Healthcare Highways | $62 | 81% |
| Cigna | $70 | 92% |
| Sendero Health Plan | $72 - $128 | 95% |
| Baylor Scott And White Health Plan | $73 | 96% |
| Christus Health Plan | $73 | 96% |
| Humana | $73 - $169 | 96% |
| Ilumed Aco Reach | $73 | 96% |
| Wellcare Complete | $73 | 96% |
| Wellmed | $73 | 96% |
| Wellpoint (Amerigroup) | $73 | 96% |
| Oscar | $75 - $90 | 98% |
| Superior Health Plan | $75 | 98% |
| UnitedHealthcare | $75 - $110 | 98% |
| America'S Choice Provider | $78 | 102% |
| Quik Trip | $84 | 110% |
| Usa Managed Care Organization | $84 | 110% |
| Velocity Provider Ppo Network | $84 - $88 | 110% |
| Multiplan/Phcs | $90 | 118% |
| Prime Health Services | $95 - $128 | 125% |
| Provider Network Of America | $101 | 133% |
| Ninety Degree Benefits | $110 | 144% |
| Ambetter / Centene | $132 | 173% |