CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $142
- Cash Discount Price: $318
- vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at AHMC Anaheim Regional Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.86x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$318
Average discount available for prompt cash payment at this facility.
Insurance Median
$142
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: $318 (418%)
Insurance Median: $142 (186%)
Cash: $318 (418% of Medicare)
Ins. Median: $142 (186% 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.
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 |
|---|---|---|
| Allied Physicians | $24 - $126 | 32% |
| Applecare Medical Group | $24 | 32% |
| Heritage Provider Network | $24 - $113 | 32% |
| Non Contracted Medi-Cal | $24 | 32% |
| Talbert Medical Group | $24 - $75 | 32% |
| Ahmc Reciprocity Agreement | $30 - $190 | 39% |
| Altamed Health Network | $30 - $82 | 39% |
| Beverly Hospital | $30 - $92 | 39% |
| Brand New Day | $30 - $105 | 39% |
| Health Net | $30 | 39% |
| Healthcare Partners | $30 - $82 | 39% |
| Healthy Way La | $30 | 39% |
| Caloptima | $33 - $82 | 43% |
| Monarch Health Plan | $33 - $429 | 43% |
| Aids Health Foundation | $34 - $82 | 45% |
| Avanti | $34 - $100 | 45% |
| Emanate Health | $34 - $105 | 45% |
| Health Net Inc | $34 - $485 | 45% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $34 | 45% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $34 | 45% |
| Hollywood Presbyterian Medpoint Mcal | $34 | 45% |
| Medi-Cal | $34 | 45% |
| Netcare Life And Health Insurance | $40 - $158 | 53% |
| Prospect Health Plan | $42 - $113 | 55% |
| Kaiser Foundation Hospitals | $43 - $82 | 56% |
| Medical Safety Net Program | $43 | 56% |
| Affiliated Doctors Of Orange County | $45 | 59% |
| Advance Clinical Research Institute | $48 - $190 | 63% |
| Angels Baseball Workers Comp | $55 | 72% |
| Interplan | $59 - $442 | 77% |
| Veterans Administration | $59 | 77% |
| First Health | $63 - $537 | 83% |
| Orange County Preferred Provider Organization | $63 - $474 | 83% |
| Medical Acquisition Company | $64 - $253 | 84% |
| Athens Administrators | $65 | 85% |
| Capp Care | $65 - $474 | 85% |
| Cigna | $65 - $530 | 85% |
| Corvel | $65 - $474 | 85% |
| Marriot Intl | $65 | 85% |
| Non Contracted Workers Comp | $65 | 85% |
| Prospect Medical Group | $74 | 97% |
| Blue Cross Blue Shield | $75 - $168 | 98% |
| Msi/Medical Services For Indigents | $75 | 98% |
| Alta Los Angeles Hospital | $78 | 102% |
| Tricare | $79 | 104% |
| Medicare (plans) | $80 - $316 | 105% |
| Aetna | $82 - $322 | 108% |
| Alignment Health Plan | $82 | 108% |
| Apa Aco Inc | $82 | 108% |
| Blue Shield Of California | $82 - $515 | 108% |
| California Health Plan | $82 | 108% |
| Central Health Of California | $82 | 108% |
| Davita Heatlhcare Partners Plan Inc | $82 - $341 | 108% |
| Healthnet | $82 | 108% |
| Humana | $82 | 108% |
| Pacificare | $82 | 108% |
| Scan Health Plan | $82 | 108% |
| Seoul Medical Group | $82 - $84 | 108% |
| Wellcare | $82 | 108% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $84 | 110% |
| Innovative Integrated Health (Iih)/Orange County Pace | $84 | 110% |
| Monarch Healthcare Medical Group | $84 | 110% |
| Private Pay Flat Rate | $84 | 110% |
| Self-Pay | $84 | 110% |
| Healthcare Partners Commercial | $86 - $341 | 113% |
| Huntington Memorial Hospital | $86 - $341 | 113% |
| Align Senior Care | $87 | 114% |
| Nchp | $87 | 114% |
| Genesis Healthcare Ipa Ancillary | $95 - $379 | 125% |
| Ahmc Health Self-Insurance Epo | $105 | 138% |
| Knox-Keene Act | $105 | 138% |
| Affiliated Health Fund | $111 - $442 | 146% |
| Allnet Preferred Provider | $111 - $442 | 146% |
| Care First | $111 - $442 | 146% |
| Private Healthcare Systems | $111 - $442 | 146% |
| Choicecare | $119 - $474 | 156% |
| Multiplan Inc | $119 - $474 | 156% |
| Memorial Healthcare Ipa | $120 | 158% |
| National Provider Network | $127 - $506 | 167% |
| Three Rivers Providers Network | $127 - $506 | 167% |
| Health Payors Organization | $143 - $569 | 188% |
| Non Contracted Commercial | $159 - $632 | 209% |
| UnitedHealthcare | $198 - $344 | 260% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $1,403 | 1842% |