CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Valley Presbyterian Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $97
Cash Discount Price: $329
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Valley Presbyterian Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $329. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.27x the Medicare baseline. Located in 15107 Vanowen St, Van Nuys, CA.

Cash / Self-Pay

$329

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $329 (432%)

Insurance Median: $97 (127%)

Cash: $329 (432% of Medicare)

Ins. Median: $97 (127% 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 Shield Promise Medi-Cal	$27 - $137	35%
Cigna	$58 - $294	76%
Aetna	$62 - $314	81%
La Care Medi-Cal	$65 - $329	85%
Phcs	$65 - $329	85%
Coventry Health Care (Ccn)	$76 - $384	100%
UnitedHealthcare	$77 - $437	101%
Beech Street	$81 - $412	106%
Blue Shield Senior	$81	106%
Blue Cross Blue Shield	$83 - $143	109%
Health Net Senior	$83	109%
La Care Covered California	$83	109%
Medicare (plans)	$83 - $87	109%
Multiplan	$97 - $494	127%
Ambetter / Centene	$117	154%
Heritage Provider Network (Regal & Lakeside)	$128	168%
Health Net	$164	215%
Blue Shield Ifp	$287	377%
Blue Shield	$327	429%

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 $329.
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 Valley Presbyterian 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.