Speech therapy (language evaluation)
Facility: Johnson Memorial Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $290
- Cash Discount Price: $223
- vs. Medicare Baseline: 3.81x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 381% of the Medicare baseline (a markup of 281%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $78 - $317 | 102% |
| Medicare (plans) | $78 - $82 | 102% |
| UnitedHealthcare | $78 - $406 | 102% |
| Blue Cross Blue Shield | $78 - $290 | 102% |
| Cca Senior Care Options | $80 | 105% |
| Cigna | $81 - $371 | 106% |
| Fallon Health | $104 | 137% |
| Connecticut Dept of Correction | $136 | 179% |
| Innovative Health Plan II | $168 | 221% |
| Claimdoc | $168 | 221% |
| Diversified Administrators | $168 | 221% |
| Centivo | $186 | 244% |
| Connecticare | $242 - $314 | 318% |
| Health New England | $264 | 347% |
| Blue Shield - Wa (Regence) | $290 | 381% |
| Blue Shield - Ny Highmark Northeastern | $290 | 381% |
| Bcn Domestic | $290 | 381% |
| Health Choices | $290 | 381% |
| Blue Distinction Transplant | $290 | 381% |
| Kaiser Domestic | $290 | 381% |
| Blue Shield - Id (Regence) | $290 | 381% |
| Blue Benefit Administrators of Massachusetts | $290 | 381% |
| Blue Care Network | $290 | 381% |
| Wellpoint | $290 | 381% |
| Blue Shield - Ny Highmark Western | $290 | 381% |
| Pre-Employment | $290 | 381% |
| Wc Domestic | $290 | 381% |
| Unicare | $290 | 381% |
| Blue Shield - PA (Highmark) | $290 | 381% |
| Blue Shield - Ca | $290 | 381% |
| Meritain | $317 | 416% |
| Hap | $317 | 416% |
| Nippon Life Ins | $317 | 416% |
| Webtpa | $317 | 416% |
| 1199 National Benefit Fund | $317 | 416% |
| Allied Benefit Systems | $317 | 416% |
| Luminare Health | $317 | 416% |
| Gravie Admin Services | $317 | 416% |
| Prime Health Services | $325 | 427% |
| International Benefit Administrators | $337 | 443% |
| Family Life Insurance Company | $337 | 443% |
| Asrm - Reliance Standard Life Insurance | $337 | 443% |
| Christian Care Ministry | $337 | 443% |
| Multiplan | $337 | 443% |
| Allied National Global Care | $337 | 443% |
| Dean Health | $337 | 443% |
| Ghc Scw | $337 | 443% |
| Mvp | $337 | 443% |
| Trinity Health Share | $337 | 443% |
| Lifetime Benefit Solutions | $337 | 443% |
| Pai | $337 | 443% |
| Paramount HMO | $337 | 443% |
| Medi Share | $337 | 443% |
| Manhattan Life | $337 | 443% |
| Pan-American Life | $337 | 443% |
| PHCS | $337 | 443% |
| Health Smart | $345 | 453% |
| Geha | $369 | 485% |
| Harvard Pilgrim Healthcare | $369 | 485% |
| Health Partners | $371 | 487% |
| Allegiance | $371 | 487% |
| Magnacare | $371 | 487% |
| United Behavioral Health Eap | $406 | 533% |