CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Chinese Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $108
Cash Discount Price: $389
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Chinese Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.42x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$389

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $389 (511%)

Insurance Median: $108 (142%)

Cash: $389 (511% of Medicare)

Ins. Median: $108 (142% 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	$81 - $159	106%
Medi-Cal	$81	106%
San Francisco Health Plan- All Plans	$81	106%
Aetna	$93 - $222	122%
Cchp Mcr Adv	$93	122%
Jade Mcr Adv	$93	122%
Blue Shield - All Other Plans	$96	126%
Hp Of San Mateo Medi-Cal	$100	131%
Jade-All Other Plans	$103	135%
On Lok Mcr Adv-All Plans	$103	135%
Hp Of San Mateo Health Kids/Health Worx-All Other	$108	142%
Blue Shield Medi-Cal	$109	143%
Asian Medical Group Medi-Cal Op Only	$113	148%
Jade Medi-Cal	$146	192%
Health Net-All Plans	$206	271%
Cigna	$214	281%
Cchp-All Other Plans	$331	435%
Hp Of San Mateo Mcr Adv	$350	460%
Asian Medical Group Mcare Op Only-All Other Plans	$389	511%
Bay Area Accountable Care Mcare	$389	511%
Bay Area Accountable Care - All Other Plans	$700	919%

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 $389.
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 Chinese 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.