Speech therapy (language evaluation)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $241
- Cash Discount Price: $195
- vs. Medicare Baseline: 3.16x 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 316% of the Medicare baseline (a markup of 216%). 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 |
|---|---|---|
| Medicare (plans) | $78 - $82 | 102% |
| Blue Cross Blue Shield | $78 - $354 | 102% |
| Aetna | $78 - $299 | 102% |
| UnitedHealthcare | $78 - $224 | 102% |
| Cca Senior Care Options | $80 | 105% |
| Cigna | $81 - $283 | 106% |
| Connecticut Dept of Correction | $154 | 202% |
| Claimdoc | $168 | 221% |
| Innovative Health Plan II | $168 | 221% |
| Diversified Administrators | $168 | 221% |
| Health New England | $188 | 247% |
| Geha | $224 | 294% |
| Harvard Pilgrim Healthcare | $224 | 294% |
| Multiplan | $241 | 316% |
| Ghc Scw | $241 | 316% |
| Pan-American Life | $241 | 316% |
| Trinity Health Share | $241 | 316% |
| Asrm - Reliance Standard Life Insurance | $241 | 316% |
| Mvp | $241 | 316% |
| Christian Care Ministry | $241 | 316% |
| Dean Health | $241 | 316% |
| Family Life Insurance Company | $241 | 316% |
| Paramount HMO | $241 | 316% |
| PHCS | $241 | 316% |
| Allied National Global Care | $241 | 316% |
| Manhattan Life | $241 | 316% |
| International Benefit Administrators | $241 | 316% |
| Medi Share | $241 | 316% |
| Lifetime Benefit Solutions | $241 | 316% |
| Pai | $241 | 316% |
| Prime Health Services | $283 | 372% |
| Allegiance | $283 | 372% |
| Magnacare | $283 | 372% |
| Health Partners | $283 | 372% |
| Gravie Admin Services | $299 | 393% |
| Allied Benefit Systems | $299 | 393% |
| Meritain | $299 | 393% |
| Nippon Life Ins | $299 | 393% |
| 1199 National Benefit Fund | $299 | 393% |
| Luminare Health | $299 | 393% |
| Webtpa | $299 | 393% |
| Hap | $299 | 393% |
| Health Smart | $301 | 395% |
| Wc Domestic | $354 | 465% |
| Blue Shield - Wa (Regence) | $354 | 465% |
| Connecticare | $354 - $402 | 465% |
| Blue Shield - Ny Highmark Western | $354 | 465% |
| Health Choices | $354 | 465% |
| Blue Shield - Id (Regence) | $354 | 465% |
| Blue Benefit Administrators of Massachusetts | $354 | 465% |
| Blue Shield - Ca | $354 | 465% |
| Pre-Employment | $354 | 465% |
| Bcn Domestic | $354 | 465% |
| Kaiser Domestic | $354 | 465% |
| Blue Distinction Transplant | $354 | 465% |
| Blue Care Network | $354 | 465% |
| Blue Shield - PA (Highmark) | $354 | 465% |
| Blue Shield - Ny Highmark Northeastern | $354 | 465% |
| Unicare | $354 | 465% |