CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Oroville Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $247
Cash Discount Price: $151
vs. Medicare Baseline: 3.24x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Oroville Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.24x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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: $151 (198%)

Insurance Median: $247 (324%)

Cash: $151 (198% of Medicare)

Ins. Median: $247 (324% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 324% of the Medicare baseline (a markup of 224%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$77 - $344	101%
Aetna	$83	109%
Community Care	$83	109%
Nivano Physicians Inc	$83	109%
UnitedHealthcare	$83 - $266	109%
River City Medical Group	$91	120%
Butte County	$100 - $109	131%
Partnership Healthplan Of California	$137	180%
Cigna	$230 - $250	302%
Coventry Health Care	$230 - $250	302%
Health Net	$230 - $250	302%
Multiplan	$230 - $250	302%
Interplan	$244 - $266	320%
Three Rivers Provider Network	$244 - $266	320%
Beech Street	$258 - $282	339%
Healthstar	$258 - $282	339%
Health Payors Organization	$273 - $297	359%
Blue Shield Of California	$278 - $304	365%

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 $151.
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 Oroville 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.