CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Adventist Health White Memorial
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $101
- Cash Discount Price: $155
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Adventist Health White Memorial is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.33x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$155
Average discount available for prompt cash payment at this facility.
Insurance Median
$101
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: $155 (204%)
Insurance Median: $101 (133%)
Cash: $155 (204% of Medicare)
Ins. Median: $101 (133% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $39 | 51% |
| Access Group | $71 | 93% |
| Ahp - All Other Plans | $71 | 93% |
| Lasalle Mg Commercial - All Other Plans | $71 | 93% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $80 | 105% |
| Bella Vista Medi-Cal Op/Profee Only | $80 | 105% |
| Access Medi-Cal | $81 | 106% |
| Ahp Medi-Cal | $81 | 106% |
| Alta Los Angeles Mcal 1/1/19 | $81 | 106% |
| Avanti Mcal | $81 | 106% |
| Healthcare Inc Medi-Cal | $81 | 106% |
| Lasalle Mg Medi-Cal | $81 | 106% |
| Medi-Cal | $81 | 106% |
| Molina Medi-Cal | $81 | 106% |
| Pacific Alliance Medi-Cal | $81 | 106% |
| Pacific Ipa Medi-Cal | $81 | 106% |
| Preferred Ipa La Care Mcal Cap | $81 | 106% |
| Preferred Medi-Cal | $81 | 106% |
| Access Senior - All Other Plans | $84 | 110% |
| Ahp Senior | $84 | 110% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $84 | 110% |
| Altamed Connect | $84 | 110% |
| Avanti Mcr Adv - All Other Plans | $84 | 110% |
| Brand New Day Mcare - All Plans | $84 | 110% |
| Bs Va Mcare | $84 | 110% |
| Care First Mcare - All Other Plans | $84 | 110% |
| Clever Care - All Plans | $84 | 110% |
| Fcs Ipa Mcr Advan Op/Profee Only | $84 | 110% |
| Humana | $84 | 110% |
| Lasalle Mg Senior | $84 | 110% |
| Medicare (plans) | $84 | 110% |
| Molina Mcare | $84 | 110% |
| Pacific Alliance Mcare - All Other Plans | $84 | 110% |
| Preferred Senior | $84 | 110% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $84 | 110% |
| Tricare | $84 | 110% |
| UnitedHealthcare | $84 - $413 | 110% |
| Blue Cross Blue Shield | $87 - $549 | 114% |
| Fcs Ipa Op/Profee Only - All Other Plans | $88 | 116% |
| Altamed Medi-Cal - All Other Plans | $93 | 122% |
| Bright Health - All Plans | $96 | 126% |
| Healthnet Mcal | $96 | 126% |
| Fcs Ipa Medi-Cal Op/Profee Only | $97 | 127% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $100 | 131% |
| Preferred Commercial - All Other Plans | $100 | 131% |
| Preferred Healthy | $101 | 133% |
| Blue Shield Mcr Adv | $105 | 138% |
| Intergrated Medical - All Plans | $109 | 143% |
| Assoc Hispanic Physcns Mcal | $113 | 148% |
| Molina Benefit Exchange - All Other Plans | $113 | 148% |
| Php-Prospect Health Plan Cap - All Plans | $126 | 165% |
| Ah Employee Health Plan - All Plans | $151 | 198% |
| Caremore Mcare - All Plans | $154 | 202% |
| Centivo - All Plans | $188 | 247% |
| Blue Shield Medi-Cal | $202 | 265% |
| Care First Medi-Cal | $283 | 372% |
| Pacific Ipa - All Other Plans | $327 | 429% |
| Western Growers/Pinnacle - All Plans | $341 | 448% |
| Kaiser- All Plans | $353 | 464% |
| Aetna | $363 | 477% |
| Cigna | $364 | 478% |
| Healthnet - All Other Plans | $389 | 511% |
| Healthnet Comm Care | $401 | 527% |
| Hcpamg - All Plans | $431 | 566% |
| Blue Shield Epn | $460 | 604% |
| Healthcare Inc - All Other Plans | $473 | 621% |
| La Care Mcr Adv - All Plans | $473 | 621% |
| First Heatlh Ppo - All Plans | $499 | 655% |
| Blue Shield - All Other Plans | $530 | 696% |
| Phcs Ppo - All Plans | $559 | 734% |
| Scan Health Mcare - All Plans | $559 | 734% |
| Ahf - All Plans | $645 | 847% |
| Beech Street - All Plans | $645 | 847% |
| Interplan Ppo - All Plans | $645 | 847% |
| Corvel Corp - All Plans | $688 | 903% |
| Multiplan Ppo - All Plans | $714 | 938% |
| Healthmannet - All Plans | $731 | 960% |
| Next Inc Ppo - All Plans | $731 | 960% |
| Trpn - All Plans | $731 | 960% |
| Fpn Ppo - All Plans | $774 | 1016% |
| Healthnet Mcr Adv | $1,316 | 1728% |