CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Kern Valley Healthcare District

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $112
Cash Discount Price: $98
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Kern Valley Healthcare District is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.47x the Medicare baseline. Located in 6412 Laurel Ave, Lake Isabella, CA.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $98 (129%)

Insurance Median: $112 (147%)

Cash: $98 (129% of Medicare)

Ins. Median: $112 (147% 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
Healthnet (Aim)	$37	49%
Healthnet Mcal	$37	49%
Medi-Cal	$81	106%
UnitedHealthcare	$84	110%
Healthnet Med Adv	$98	129%
Humana	$98	129%
Brand New Day - All Plans	$112	147%
Blue Cross Blue Shield	$157	206%
Blue Shield - All Plans	$179	235%
Tricare	$326	428%
Aetna	$354	465%
Healthnet- All Other Plans	$368	483%
Cigna	$396	520%

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 $98.
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 Kern Valley Healthcare District 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.