CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Monterey Park Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $144
- Cash Discount Price: $481
- vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Monterey Park Hospital is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.89x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$481
Average discount available for prompt cash payment at this facility.
Insurance Median
$144
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: $481 (632%)
Insurance Median: $144 (189%)
Cash: $481 (632% of Medicare)
Ins. Median: $144 (189% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed Health Services Corporation | $23 - $75 | 30% |
| Care 1St M Cal | $23 - $75 | 30% |
| Crown City Medical Group Inc | $23 - $75 | 30% |
| Physician Healthways | $23 - $75 | 30% |
| Universal Care M Cal/Advantage Health Network | $23 - $75 | 30% |
| Accountable Ipa | $24 | 32% |
| Allied Physicians | $24 - $126 | 32% |
| Alta Med Health Services Corp | $24 - $188 | 32% |
| Altamed Health Network | $24 - $82 | 32% |
| Assess Ipa | $24 | 32% |
| Blue Cross Blue Shield | $24 - $375 | 32% |
| Care 1St Mcl/Gar Cap | $24 | 32% |
| Family Health Alliance Medical Group | $24 - $60 | 32% |
| Healthnet Inc | $24 | 32% |
| La Care | $24 - $84 | 32% |
| Medical Managed Care Program | $24 | 32% |
| Molina Healthcare | $24 | 32% |
| Preferred Ipa Of California | $24 | 32% |
| Access Ipa Ancillary | $30 - $83 | 39% |
| Ahmc Healthcare Inc | $30 - $225 | 39% |
| Altamed Health Services | $30 | 39% |
| Applecare Medical Group | $30 - $67 | 39% |
| Associated Hispanic Physicians Ancillary | $30 - $64 | 39% |
| Beverly Hospital | $30 - $92 | 39% |
| Brand New Day | $30 - $105 | 39% |
| Community Health Plan | $30 | 39% |
| Esperanza Medical Group Ipa | $30 - $60 | 39% |
| Health Net Medi Cal | $30 | 39% |
| Healthy Way La | $30 | 39% |
| La Care Health Plan | $30 - $412 | 39% |
| Other Non-Contracted Medi-Cal | $30 | 39% |
| Preferred Ipa | $30 - $105 | 39% |
| Alhambra Community Dialysis Unit Inc | $31 - $450 | 41% |
| Aids Health Foundation | $34 - $82 | 45% |
| Avanti | $34 - $100 | 45% |
| Emanate Health | $34 - $105 | 45% |
| Hollywood Presbyterian Adv Med Mcal | $34 | 45% |
| Hollywood Presbyterian Medpoint Mcal | $34 | 45% |
| Maxi Med Inc/Ipa | $34 - $84 | 45% |
| Medi Cal | $34 | 45% |
| Pacific Independent Physician Association | $34 - $60 | 45% |
| Bella Vista Medical Group Ancillary | $43 | 56% |
| Central Health Plan | $43 | 56% |
| Employee Health Systems Medical Group | $45 - $150 | 59% |
| Global Care Medical Group Ipa | $45 - $338 | 59% |
| Healthnet/Ehs Capitation | $45 - $150 | 59% |
| Caloptima Direct | $50 | 66% |
| Garfield Medical Center | $54 | 71% |
| Hispanic Physicians Ipa Medical Corporation | $57 - $188 | 75% |
| Veterans Administration | $59 | 77% |
| Allied Physicians Ipa | $60 | 79% |
| Preferred Health Network | $62 - $600 | 81% |
| Interplan | $63 - $562 | 83% |
| Asi Flex Ppo W/C | $65 | 85% |
| Athens Administrators | $65 | 85% |
| Indemnity W Comp Fee Schedule | $65 | 85% |
| Multiplan | $65 - $638 | 85% |
| Bella Vista Medical Group | $67 - $225 | 88% |
| Ahmc Reciprocity Agreement Senior/Commercial | $68 - $225 | 89% |
| Community Health Plan M Cal Joy Ipa | $68 - $225 | 89% |
| Tenet Reciprocity | $68 - $225 | 89% |
| Senior Citizens Choice | $74 | 97% |
| Healthcare Partners Affiliates Medical Group | $81 - $268 | 106% |
| Aetna | $82 - $546 | 108% |
| Alignment Health Plan | $82 | 108% |
| Apa/Aco Inc | $82 | 108% |
| Blue Shield Of California | $82 - $433 | 108% |
| Cms | $82 | 108% |
| Easy Choice Health Plan | $82 | 108% |
| First Health Senior | $82 | 108% |
| Foundation Health Plan | $82 | 108% |
| Health Net | $82 - $135 | 108% |
| Health Net Inc | $82 - $293 | 108% |
| Humana | $82 | 108% |
| Medicare (plans) | $82 - $87 | 108% |
| Scan Health Plan | $82 | 108% |
| Secure Horizons | $82 | 108% |
| Ucla/Impact Cancer | $82 | 108% |
| UnitedHealthcare | $82 - $525 | 108% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $84 | 110% |
| La Care Covered Direct | $84 | 110% |
| Self-Pay | $84 | 110% |
| Molina Healthcare Medi-Connect | $87 | 114% |
| Molina Medical Centers | $89 - $292 | 117% |
| Central Health Plan Of California | $91 - $300 | 120% |
| San Miguel Health Plan | $92 | 121% |
| Ahmc Health Epo | $105 | 138% |
| Knox-Keene Act | $105 | 138% |
| Molina Healthcare Of California | $105 | 138% |
| Care 1St Health Plan | $136 - $450 | 179% |
| Greater Los Angeles Dialysis Inc | $136 - $450 | 179% |
| Health Net Of California | $136 - $448 | 179% |
| One Health Plan | $136 - $775 | 179% |
| Choice Care Network | $148 - $488 | 194% |
| Healthnet | $148 - $488 | 194% |
| Universal Care | $159 - $525 | 209% |
| Corvel Corporation | $182 - $925 | 239% |
| Bce Emergis Corp | $193 - $638 | 253% |
| Pacificare | $219 - $263 | 288% |
| Commercial Non Contract | $227 - $750 | 298% |
| Mri/Ct Greater El Monte Hospital | $227 - $750 | 298% |
| Mri/Mra/Alhambra Hospital | $227 - $750 | 298% |
| Mri/Mra/Eladh | $227 - $750 | 298% |
| One Legacy | $227 - $750 | 298% |
| Cigna | $525 | 689% |