CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Greater El Monte Community Hospital
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $102
- Cash Discount Price: $186
- vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Greater El Monte Community Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.34x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$186
Average discount available for prompt cash payment at this facility.
Insurance Median
$102
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: $186 (244%)
Insurance Median: $102 (134%)
Cash: $186 (244% of Medicare)
Ins. Median: $102 (134% 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 |
|---|---|---|
| Care 1St Medi Cal Hmo Cap Exceptional Care | $12 - $26 | 16% |
| Clinica Medica Familiar | $15 - $131 | 20% |
| In Custody-Ca Highway Patrol | $20 | 26% |
| Emanate Health | $24 - $105 | 32% |
| Bella Vista Medical Group Ipa | $25 - $118 | 33% |
| Employee Health Systems Medical Group | $25 - $52 | 33% |
| Global Care Medical Group Ipa | $25 - $118 | 33% |
| Aids Health Foundation | $30 - $82 | 39% |
| Altamed Health Network | $30 - $82 | 39% |
| Avanti | $30 - $100 | 39% |
| Beverly Hospital | $30 - $92 | 39% |
| Brand New Day | $30 - $105 | 39% |
| Health Net Foundation | $30 - $192 | 39% |
| Healthy Way La | $30 | 39% |
| La Care Health Plan | $30 - $144 | 39% |
| Other Non Contracted Medi-Cal Hmo | $30 | 39% |
| State Of California | $30 | 39% |
| Alta Med Health Services Med Grp | $31 - $66 | 41% |
| Allied Physicians | $34 - $124 | 45% |
| Associated Hispanic Physicians | $34 - $84 | 45% |
| Hollywood Presbyterian Adv Med Mcal | $34 | 45% |
| Hollywood Presbyterian Medpoint Mcal | $34 | 45% |
| Caloptima | $35 | 46% |
| Ahmc Reciprocity Agreement | $38 - $79 | 50% |
| Ahmc Reciprocity Agreement Senior/Commercial | $38 - $79 | 50% |
| Good Samaritan Medical Practice Assoc | $38 - $157 | 50% |
| Lincoln Hospital Medical Center | $38 - $79 | 50% |
| Blue Cross Blue Shield | $43 - $223 | 56% |
| Molina Healthcare Of California | $49 - $105 | 64% |
| Intercomp | $59 | 77% |
| Veterans Administration | $59 | 77% |
| Allied Physicians Medical Group | $60 | 79% |
| Central Health Plan | $61 - $183 | 80% |
| Blue Shield Of California | $62 - $433 | 81% |
| California Thoroughbred Horesmans Foundation | $62 - $131 | 81% |
| Preferred Health Network | $62 | 81% |
| Universal Care | $62 - $183 | 81% |
| Interplan | $63 - $196 | 83% |
| Athens Administrators | $65 | 85% |
| Multiplan | $65 - $223 | 85% |
| Other Non Contracted Work Comp | $65 | 85% |
| Care 1St Health Plan | $75 - $157 | 98% |
| Cost Containment Strategies | $81 - $170 | 106% |
| In Custody Police Dept | $81 - $170 | 106% |
| Alignment Health Plan | $82 | 108% |
| Apa/Aco Inc | $82 | 108% |
| Cms | $82 | 108% |
| Easy Choice Health Plan | $82 | 108% |
| Health Net Inc | $82 - $234 | 108% |
| Other Non Contracted Senior Hmo | $82 | 108% |
| Pacific Alliance Medical Center Reciprocal Contract | $82 | 108% |
| Scan Health Plan | $82 | 108% |
| UnitedHealthcare | $82 - $225 | 108% |
| Champus Foundation | $83 | 109% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $84 | 110% |
| La Care Covered Direct | $84 | 110% |
| Pacificare Of California | $84 - $227 | 110% |
| Self-Pay | $84 | 110% |
| Molina Healthcare | $87 | 114% |
| Inter Valley Health Plan | $88 | 116% |
| San Miguel Health Plan | $92 | 121% |
| Chinatown Service Center Pace | $99 | 130% |
| Community Care Network | $100 - $210 | 131% |
| Ahmc Health Self-Insurance Epo | $105 | 138% |
| Knox-Keene Act | $105 | 138% |
| Health Payors Organization | $112 - $236 | 147% |
| Cigna | $125 - $262 | 164% |
| Commercial Non Contract | $125 - $262 | 164% |
| Medi-Cal Sub Acute | $125 - $262 | 164% |
| Nuclear Medicine/Whmc | $125 - $262 | 164% |
| One Legacy | $125 - $262 | 164% |