CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Rose Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $108
Cash Discount Price: $228
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Rose Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.42x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.

Cash / Self-Pay

$228

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $228 (299%)

Insurance Median: $108 (142%)

Cash: $228 (299% of Medicare)

Ins. Median: $108 (142% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$82 - $250	108%
Healthnet Of California	$87 - $533	114%
Centers For Elder Independence	$89	117%
Cigna	$89 - $571	117%
UnitedHealthcare	$89 - $609	117%
Brown & Toland	$93	122%
Humana	$93	122%
Imperial Health Senior	$93	122%
Medicare (plans)	$93	122%
Canopy	$177	232%
Blue Cross Blue Shield	$184	242%
Blue Shield	$233	306%
Blue Shield Affinity	$233	306%
Blue Shield Hill	$233	306%
Interplan	$533	700%
Multiplan Inc	$586	770%
Kaiser Foundation Hospitals	$609	800%
Preferred Health Network	$647	850%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $228.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Rose Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.