Speech therapy (language evaluation)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $315
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.14x 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 414% of the Medicare baseline (a markup of 314%). 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 |
|---|---|---|
| Americhoice | $54 | 71% |
| UnitedHealthcare | $54 - $298 | 71% |
| Horizon | $58 - $294 | 76% |
| Wellcare | $58 | 76% |
| Self Pay | $63 | 83% |
| Devoted Health Plan | $103 | 135% |
| Amerigroup | $109 | 143% |
| Global Exchange Managed Care | $150 | 197% |
| Magnacare | $168 - $378 | 221% |
| Cigna | $176 - $212 | 231% |
| Health Partners Plan | $200 | 263% |
| Aetna | $203 - $316 | 267% |
| Qualcare Commercial | $210 | 276% |
| Evernorth | $210 | 276% |
| Great West Life | $212 | 278% |
| Amerihealth | $270 - $353 | 355% |
| Active Care Plus | $273 | 359% |
| First McO | $273 | 359% |
| Mutual of Omaha | $273 | 359% |
| Qualcare Wc | $273 | 359% |
| Donio Trucking | $294 | 386% |
| Consumer Health Network (Chn) | $294 - $378 | 386% |
| Devon/ Ullicare | $315 | 414% |
| Oxford | $315 | 414% |
| Private Healthcare System (PHCS) | $336 | 441% |
| Coventry Health Care | $336 | 441% |
| Blue Cross Blue Shield | $346 | 454% |
| Health South | $357 | 469% |
| Three Rivers Provider Network (Trpn) | $357 | 469% |
| Prime Health Services | $357 | 469% |
| Metrahealth of Nj | $357 | 469% |
| Health Payors Org | $357 | 469% |
| Multiplan | $378 | 496% |
| Department of Corrections | $378 | 496% |
| McS Commercial | $378 | 496% |
| Choice Care | $378 | 496% |
| Beech Street | $378 | 496% |
| Health Network Inc | $378 | 496% |
| Galaxy Health Network | $378 | 496% |
| Metracomp | $378 | 496% |
| Intergroup Preferred Program | $378 | 496% |
| Provider Select, Inc | $378 | 496% |
| Active Care Nj Pip | $378 | 496% |
| Atlantis Health Plan | $388 | 510% |
| Master Care Inc | $388 | 510% |
| McSi/Mrsi Worker's Comp | $399 | 524% |
| National Health Plan | $399 | 524% |
| McSi/Mrsi No Fault | $399 | 524% |
| Community Care Network | $399 | 524% |
| Advance Healthcare System | $399 | 524% |
| Health Network America | $399 | 524% |