CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Adventist Health St Helena

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$129
about 1.7× the $76 Medicare rate · typically $84–$279
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $129 Cash price $149 Hospital's list price $995

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $89 - $634 117%
Blue Cross Blue Shieldmajor $89 - $448 117%
Aetnamajor $292 383%
Cignamajor $796 1045%
Kaiser Permanentemajor $89 - $816 117%
Health Net $610 801%
+ 5 smaller / regional plans $89 - $846
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10 Woodland Road, Saint Helena, CA 94574
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals