CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Adventist Health Tehachapi Valley

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $127
Cash Discount Price: $140
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Adventist Health Tehachapi Valley is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.67x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $140 (184%)

Insurance Median: $127 (167%)

Cash: $140 (184% of Medicare)

Ins. Median: $127 (167% 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
Klhp-Kern Legacy Epo -All Other Plans	$28	37%
Kaiser Medi-Cal Ip/Op Only	$81	106%
Medi-Cal	$81	106%
Universal Ipa Mcal Op/Profee Only	$81	106%
Bc Mcal	$83	109%
Blue Shield Epn- All Other Plans	$98	129%
Healthnet Mcare	$98	129%
Medicare (plans)	$98	129%
Tricare	$98	129%
UnitedHealthcare	$98 - $253	129%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$98	129%
Healthnet Medi-Cal	$99	130%
Khs-Kern Hlth Systm Mcal	$104	137%
Network Providers- All Plans	$126	165%
Oscar Health Plan- All Plans	$128	168%
Kaiser Ip/Op Only- All Other Plans	$169	222%
Blue Shield Non-Epn	$178	234%
Western Grwrs/Pinnacle - All Plans	$217	285%
Centivo - All Plans	$221	290%
Ah Employee Health Plan - All Plans	$274	360%
Blue Cross Blue Shield	$298 - $313	391%
Aetna	$373	490%
Healthnet- All Other Plans	$398	523%
Cigna	$404	531%
Coventry- All Plans	$465	611%

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 $140.
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 Adventist Health Tehachapi Valley 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.