CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Scripps Mercy Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 1.2× the $76 Medicare rate · typically $76–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $4 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $88 This hospital $84 Cash price $64 Hospital's list price $257

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $39 Priciest $84

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $88 (about 1.2× the $76 Medicare rate). Scripps Mercy Hospital charges insurers about $84, or about $64 in cash — about the fair price. Located in San Diego, CA.

What each insurance company pays

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

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

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

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 $50 - $90 66%
Blue Cross Blue Shieldmajor $54 - $92 71%
Aetnamajor $50 - $130 66%
Cignamajor $59 - $102 77%
Humanamajor $84 110%
Kaiser Permanentemajor $84 - $97 110%
Health Net $59 - $209 77%
HealthPartners $57 - $84 75%
+ 41 smaller / regional plans $21 - $206
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4077 5Th Ave, San Diego, CA 92103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals