CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $105
Cash Discount Price: $359
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Martin Luther King, Jr. Community Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.38x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$359

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $359 (471%)

Insurance Median: $105 (138%)

Cash: $359 (471% of Medicare)

Ins. Median: $105 (138% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Preferred Professional Medical Corporation (Ipa) Of California	$50 - $67	66%
Alta	$56 - $84	74%
Brand New Day	$56 - $1,167	74%
Care1St Health	$56 - $84	74%
Molina Healthcare	$59 - $105	77%
Heritage Provider Network (Hpn)	$80	105%
Health Net	$95 - $584	125%
La Care Health Pasc-Seui	$98	129%
La Care Health Plan	$98	129%
La Care Health	$102	134%
Santa Monica Unite Here	$226	297%
Blue Shield Of California	$752 - $883	988%
UnitedHealthcare	$785 - $833	1031%
Multiplan	$1,466 - $1,556	1925%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $359.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Martin Luther King, Jr. Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.