CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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
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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 |
|---|---|---|
| Kpc Healthcare Inc | $36 - $105 | 47% |
| Altamed Mcal Hmo (Ancillary) | $43 | 56% |
| Healthcare Partners | $43 | 56% |
| Hollywood Presbyterian | $43 - $84 | 56% |
| Kaiser | $43 - $139 | 56% |
| Medi-Cal Hmo/Non Contract | $43 | 56% |
| Medicaid / KanCare | $43 | 56% |
| Coventry Auto Network | $59 | 77% |
| Interplan | $59 - $170 | 77% |
| Prime Health Srvs/Wc | $59 | 77% |
| Altamed Health Services | $60 - $84 | 79% |
| Caloptima | $60 - $84 | 79% |
| Choc Health Alliance | $60 | 79% |
| County Of Orange | $60 | 79% |
| Family Choice | $60 | 79% |
| Heritage Provider Network | $60 - $136 | 79% |
| Prospect Health Plan | $60 - $126 | 79% |
| Coventry Wc | $61 | 80% |
| Multiplan | $64 - $158 | 84% |
| Three Rivers | $64 | 84% |
| Velocity National Provider Network Wc | $65 | 85% |
| Workers Comp State Of California | $65 | 85% |
| Ihhi Reciprocity | $68 | 89% |
| Champus | $80 | 105% |
| Blue Shield | $84 - $319 | 110% |
| Central Health Plan Of California | $84 | 110% |
| Champion Health Plan | $84 | 110% |
| Choice Physicians Network | $84 | 110% |
| Citizens Choice Health Plan | $84 | 110% |
| Clever Care Health Plan | $84 | 110% |
| Easy Choice Health Plan | $84 | 110% |
| For Your Benefit | $84 | 110% |
| Health Net | $84 - $165 | 110% |
| Healthcare Partners Sr Hmo | $84 | 110% |
| Heritage | $84 | 110% |
| Humana | $84 | 110% |
| Imperial Health Plan Of Ca | $84 | 110% |
| Innovative Integrated Health | $84 | 110% |
| Medcare Partners | $84 | 110% |
| Monarch | $84 - $167 | 110% |
| Onecare | $84 | 110% |
| Onecare Connect | $84 | 110% |
| Other Senior Non Contract | $84 | 110% |
| Scan Health Plan | $84 | 110% |
| Self Pay Ab774/Cbo Use Only | $84 | 110% |
| UnitedHealthcare | $84 - $216 | 110% |
| Us Dept Of Labor | $84 | 110% |
| Us Federal Marshall/Department Of Immigration | $84 | 110% |
| Velocity Provider Network Sr | $84 | 110% |
| Verda Health Plan Sr | $84 | 110% |
| Veterans Administration | $84 | 110% |
| Victim Of Violent Crime | $84 | 110% |
| Victoria Hospice | $84 | 110% |
| Brand New Day | $94 | 123% |
| Prime Health Srvs | $96 - $181 | 126% |
| County Of Orange/Custody/Advanced Medmgt | $105 | 138% |
| Veterans Evaluation Services | $105 | 138% |
| Staywell/Island Home Ins | $117 | 154% |
| First Health | $119 | 156% |
| Magellan | $136 | 179% |
| Cigna | $147 - $315 | 193% |
| Three Rivers Network | $147 | 193% |
| Velocity National Provider Network Ppo | $147 | 193% |
| Networks By Design | $158 | 207% |
| Networks By Design Wc | $158 | 207% |
| Healthsmart | $170 | 223% |
| Prime Health | $170 | 223% |
| Monarch Health Plan | $179 | 235% |
| Pnoa-Provider Network Of America | $181 | 238% |
| Prime Health Srvs/Network | $192 | 252% |
| Aetna | $207 | 272% |
| Lucet Behavioral Health Sr | $226 | 297% |
| Managed Health Network | $226 | 297% |
| Other Insurance Loa | $226 | 297% |
| Other Non Contracted Plans | $226 | 297% |
| Private Pay | $226 | 297% |
| Us Behavioral Health Plan | $226 | 297% |
| Vitas Hospice | $226 | 297% |