CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Whittier Hospital Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $133
- Cash Discount Price: $52
- vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Whittier Hospital Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.75x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$52
Average discount available for prompt cash payment at this facility.
Insurance Median
$133
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: $52 (68%)
Insurance Median: $133 (175%)
Cash: $52 (68% of Medicare)
Ins. Median: $133 (175% 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 |
|---|---|---|
| Physicians Healthways Medical Corporation | $11 | 14% |
| Blue Cross Blue Shield | $13 - $328 | 17% |
| Physician Healthways | $16 - $66 | 21% |
| Aids Healthcare Foundation | $24 - $82 | 32% |
| Allied Physicians | $24 - $126 | 32% |
| Kaiser Foundation | $24 - $460 | 32% |
| Synermed | $24 - $84 | 32% |
| Ahmc Medi-Cal Reciprocity Agreement | $30 | 39% |
| Alta Med Health Network | $30 - $82 | 39% |
| Altamed Health Services Corporation | $30 | 39% |
| Applecare Medical Group | $30 | 39% |
| Beverly Hospital | $30 - $92 | 39% |
| Brand New Day | $30 - $103 | 39% |
| Emanate Health | $30 - $103 | 39% |
| Health Net | $30 - $393 | 39% |
| Healthy Way La | $30 | 39% |
| Heritage Provider Network | $30 - $113 | 39% |
| La Care Healthy Families/Healthy Kids | $30 | 39% |
| Non Contracted Medi-Cal | $30 | 39% |
| Prospect Health Plan | $30 - $134 | 39% |
| Monarch Healthplan | $33 | 43% |
| Avanti | $34 - $100 | 45% |
| Care First Health Plan | $34 | 45% |
| County Of Los Angeles Dept Of Health Services | $34 | 45% |
| Hollywood Presbyterian Adv Med Mcal | $34 | 45% |
| Hollywood Presbyterian Medpoint Mcal | $34 | 45% |
| La Care Health Plan | $34 - $361 | 45% |
| Medi Caid/ Medi Cal | $34 | 45% |
| Caloptima | $42 - $82 | 55% |
| Ahmc Reciprocity | $50 - $197 | 66% |
| Ahmc Reciprocity Agreement Senior/Commercial | $50 - $197 | 66% |
| Wear And Wood | $50 - $263 | 66% |
| Veterans Administration | $59 | 77% |
| Capnet | $60 | 79% |
| Pacific Independent Physician Association | $60 | 79% |
| Fmc Los Angeles County | $62 - $493 | 81% |
| Interplan Health Group | $63 | 83% |
| Molina Medical Center | $64 - $256 | 84% |
| Athens Administrators Ahmc Work Comp | $65 | 85% |
| Edward Medical Group | $65 | 85% |
| Misc 1 | $65 | 85% |
| Multiplan Wc | $65 | 85% |
| Central Health Plan Of California | $66 - $263 | 87% |
| Allied Physicians Ipa | $69 | 91% |
| UnitedHealthcare | $79 - $572 | 104% |
| Aetna | $82 - $478 | 108% |
| Alignment Health Plan | $82 | 108% |
| Alta Los Angeles Hospitals Inc | $82 | 108% |
| Apa/Aco Inc | $82 | 108% |
| Blue Shield Of California | $82 - $433 | 108% |
| Central Health Plan | $82 | 108% |
| Easy Choice Health Plan | $82 | 108% |
| Humana | $82 | 108% |
| Medicare (plans) | $82 - $87 | 108% |
| Pacificare Of California | $82 | 108% |
| Scan Health Plan | $82 | 108% |
| Tricare | $83 | 109% |
| Caremore | $84 | 110% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $84 | 110% |
| La Care Covered Direct | $84 | 110% |
| Pacific Alliance Medical Center | $84 | 110% |
| Private Pay | $84 | 110% |
| Self-Pay | $84 | 110% |
| Molina Healthcare Of California | $87 | 114% |
| Prospect Medical | $91 - $361 | 120% |
| San Miguel Health Plan | $92 | 121% |
| Davita Healthcare Partners | $94 | 123% |
| Care 1St Health Plan | $99 - $394 | 130% |
| New Horizon Medical Group Inc | $99 - $394 | 130% |
| Chinatown Service Center Pace | $100 | 131% |
| Ahmc Health | $105 | 138% |
| Knox-Keene Act | $105 | 138% |
| Cost Containment | $107 - $427 | 141% |
| Universal Care | $107 - $460 | 141% |
| Asi/Flex | $116 - $460 | 152% |
| Us Comp Care | $116 - $460 | 152% |
| Value Healthplan Of California | $116 - $460 | 152% |
| Community Care Network | $124 - $493 | 163% |
| Coventry Health Care | $124 - $493 | 163% |
| Coventry Health Care National Network | $124 - $493 | 163% |
| Interplan Corporation | $124 - $493 | 163% |
| Managed Care Administrators | $124 - $493 | 163% |
| Prohealth | $124 - $493 | 163% |
| Health Net Inc | $135 - $215 | 177% |
| Multiplan | $140 - $558 | 184% |
| Cigna | $165 - $525 | 217% |
| Commercial Non Contract | $165 - $657 | 217% |
| Medi-Cal Sub Acute | $165 - $657 | 217% |
| One Legacy | $165 - $657 | 217% |
| Healthnet | $234 - $251 | 307% |
| Great-West Healthcare Of California | $2,500 | 3283% |