Speech therapy (language evaluation)
Facility: Saint Mary's Hospital
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $92 compared to the $108 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.85× fair market pricing.
A typical price — 3 charge more and 5 charge less, among the 9 CT hospitals compared.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
A fair price for a Speech therapy (language evaluation) is about $108 (about 1.4× the $76 Medicare rate). Saint Mary's Hospital charges insurers about $92, or about $173 in cash — below the fair price — a good deal. Located in Waterbury, CT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $78 - $315 | 102% |
| Blue Cross Blue Shieldmajor | $71 - $92 | 93% |
| Aetnamajor | $78 - $249 | 102% |
| Cignamajor | $81 - $336 | 106% |
| Kaiser Permanentemajor | $92 | 121% |
| Dean Health Plan | $243 | 319% |
| GEHA | $314 | 412% |
| Harvard Pilgrim | $314 | 412% |
| HealthPartners | $336 | 441% |
| MagnaCare | $336 | 441% |
| MVP Health Care | $243 | 319% |
| Paramount | $243 | 319% |
| UniCare | $92 | 121% |
| + 34 smaller / regional plans | $79 - $336 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint Mary's Hospital
Compare: Speech therapy (language evaluation) at other CT hospitals
- The Connecticut Hospice Inc. · Branford $46
- Gaylord Hospital · Wallingford $80
- Bristol Hospital · Bristol $83
- St Francis Hospital & Medical Center · Hartford $86
- Midstate Medical Center · Meriden $90
- Windham Community Memorial Hospital · Willimantic $120
- The Hospital of Central Connecticut · New Britain $140
- John Dempsey Hospital of the University of Connect · Farmington $151
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Mary's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $114
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $114).
Self-Pay Cash Rate ($173) Beats Your Bill
Saint Mary's Hospital's published 45 CFR § 180 self-pay cash rate is $173 (vs. $92 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $108 Fair BaseRate ($76 Medicare)
Your bill ($315) is $207 above the denoised Fair BaseRate ($108) and 4.1× the $76 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.