Speech therapy (language evaluation)
Facility: Adventist Health Simi Valley
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $190 compared to the $113 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.68× fair market pricing.
Highest price of the 9 CA hospitals we have prices for — worth calling around.
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 $113 (about 1.5× the $76 Medicare rate). Adventist Health Simi Valley charges insurers about $190, or about $93 in cash — above the fair price. Located in Simi Valley, CA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $113. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $83 - $203 | 109% |
| Blue Cross Blue Shieldmajor | $83 - $357 | 109% |
| Aetnamajor | $321 | 422% |
| Cignamajor | $347 | 456% |
| Kaiser Permanentemajor | $292 | 383% |
| Health Net | $452 | 594% |
| + 15 smaller / regional plans | $83 - $536 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Adventist Health Simi Valley
Compare: Speech therapy (language evaluation) at other CA hospitals
- Temecula Valley Hospital · Temecula $39
- Children's Hosp of Los Angeles · Los Angeles $43
- Palmdale Regional Medical Center · Palmdale $45
- Valley Children's Hospital · Madera $51
- Zuckerberg San Francisco General Hosp & Trauma Ctr · San Francisco $52
- Southwest Healthcare Rancho Springs Hospital · Murrieta $54
- Corona Regional Medical Center · Corona $55
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $55
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Adventist Health Simi Valley (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $212
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $212).
Self-Pay Cash Rate ($93) Beats Your Bill
Adventist Health Simi Valley's published 45 CFR § 180 self-pay cash rate is $93 (vs. $190 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $113 Fair BaseRate ($76 Medicare)
Your bill ($584) is $471 above the denoised Fair BaseRate ($113) and 7.7× the $76 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.