CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Anaheim Global Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $84
- Cash Discount Price: $226
- vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Anaheim Global Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.10x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$226
Average discount available for prompt cash payment at this facility.
Insurance Median
$84
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: $226 (297%)
Insurance Median: $84 (110%)
Cash: $226 (297% of Medicare)
Ins. Median: $84 (110% 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 |
|---|---|---|
| Medi-Cal Hmo/Non Contract | $30 | 39% |
| Brand New Day | $36 - $105 | 47% |
| Altamed Mcal Hmo (Ancillary) | $43 | 56% |
| Healthcare Partners | $43 | 56% |
| Hollywood Presbyterian | $43 | 56% |
| Kaiser | $43 - $139 | 56% |
| Prime Health Services | $43 - $192 | 56% |
| State Of California | $43 - $65 | 56% |
| Coventry Health | $59 - $61 | 77% |
| Interplan | $59 - $170 | 77% |
| Altamed | $60 - $84 | 79% |
| Caloptima | $60 - $84 | 79% |
| Choc Health Alliance | $60 | 79% |
| County Of Orange | $60 - $226 | 79% |
| Family Choice Mcal | $60 | 79% |
| Heritage Provider Network | $60 - $136 | 79% |
| Prospect Health Plan | $60 - $126 | 79% |
| Multiplan | $64 - $158 | 84% |
| Three Rivers Network | $64 - $147 | 84% |
| Velocity National Provider Network Wc | $65 | 85% |
| Ihhi Reciprocity | $68 | 89% |
| Altamed Health Services | $80 - $84 | 105% |
| Champus | $80 | 105% |
| Aetna | $84 - $207 | 110% |
| Astiva | $84 | 110% |
| Blue Shield Of California | $84 - $319 | 110% |
| California Health Plan | $84 | 110% |
| Central Health Plan Of California Inc | $84 | 110% |
| Champion Health Plan | $84 | 110% |
| Choice Physicians Network | $84 | 110% |
| Citizens Choice | $84 | 110% |
| Clever Care Health Plan | $84 | 110% |
| Easy Choice | $84 | 110% |
| For Your Benefit | $84 | 110% |
| Health Net Inc | $84 - $156 | 110% |
| Healthcare Partners Sr Hmo | $84 | 110% |
| Hollywood Presbyerian | $84 | 110% |
| Humana | $84 | 110% |
| Imperial Health Plan Of Ca | $84 | 110% |
| Innovative Integrated Health | $84 | 110% |
| Medcare Partners Health Plan | $84 | 110% |
| Medicare (plans) | $84 | 110% |
| Monarch | $84 | 110% |
| Onecare | $84 | 110% |
| Other Sr Non Contract | $84 | 110% |
| Physicians For Healthy Hospitals | $84 | 110% |
| Scan | $84 | 110% |
| Self Pay/Ab774/Cbo Use Only | $84 | 110% |
| St Joseph Hospital Sr | $84 | 110% |
| UnitedHealthcare | $84 - $216 | 110% |
| Us Dept Of Labor | $84 | 110% |
| Us Federal Marshall/Department Of Immigration | $84 | 110% |
| Velocity National Provider Network Sr | $84 | 110% |
| Verda Health Plan | $84 | 110% |
| Veterans Administration | $84 | 110% |
| Victim Of Violent Crime | $84 | 110% |
| Victim Of Violent Crime (Mep) | $84 | 110% |
| Victoria Hospice | $84 | 110% |
| Healthcare Partners Hmo | $90 | 118% |
| Align Sr Care | $94 | 123% |
| Velocity National Provider Network Auto Med Ppo | $102 | 134% |
| Veterans Evaluation Services | $105 | 138% |
| Staywell/Island Home Ins | $117 | 154% |
| First Health | $119 | 156% |
| Naphcare | $130 | 171% |
| Magellan Behavioral Health | $136 | 179% |
| Primecare Medical Network Inc | $136 | 179% |
| Monarch Health Plan | $142 - $179 | 186% |
| Health Net | $144 - $165 | 189% |
| Cigna | $147 - $315 | 193% |
| Velocity National Provider Network Ppo | $147 | 193% |
| Networks By Design | $158 | 207% |
| Healthsmart Preferred Network | $170 | 223% |
| Provider Network Of America | $181 | 238% |
| Ahmc Healthcare | $226 | 297% |
| Lucet Bh Scan Sr | $226 | 297% |
| Managed Health Network | $226 | 297% |
| Other Insurance Loa | $226 | 297% |
| Other Non Contracted Plans | $226 | 297% |
| Private Pay | $226 | 297% |
| Usbhpc | $226 | 297% |