CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Saint Francis Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $84
Cash Discount Price: $83
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Saint Francis Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.10x the Medicare baseline. Located in 3630 East Imperial Highway, Lynwood, CA.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $83 (109%)

Insurance Median: $84 (110%)

Cash: $83 (109% of Medicare)

Ins. Median: $84 (110% 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
Blue Cross Blue Shield	$33	43%
Aids Healthcare Foundation	$81 - $85	106%
Avanti Hospitals, Llc	$81 - $84	106%
Health Net Of Ca	$81 - $109	106%
Heritage Provider Network	$81	106%
Kaiser Hospital Foundation	$81 - $84	106%
La Care Health Plan	$81 - $105	106%
Molina	$81 - $84	106%
Traditional Medi-Cal	$81	106%
Alignment	$84	110%
Altamed	$84	110%
Blue Shield Of Ca, Va	$84	110%
Blue Shield Of Promise	$84 - $85	110%
Elite Health Plan	$84	110%
Medicare (plans)	$84	110%
Renal Payer Solutions	$84	110%
Tricare	$84	110%
UnitedHealthcare	$84	110%
Welbe Health Pace	$84	110%
Brand New Day	$85 - $126	112%
Imperial Health Plan Of Ca	$89	117%
Coventry Healthcare Wc, Inc.	$107	141%
Multiplan	$107	141%
Worker Comp	$110	144%
Aetna	$126	165%

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 $83.
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 Saint Francis Medical Center 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.