Speech therapy (language evaluation)
Facility: Midstate Medical Center
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $90 compared to the $102 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.88× fair market pricing.
A typical price — 4 charge more and 4 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.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Speech therapy (language evaluation) is about $102 (about 1.3× the $76 Medicare rate). Midstate Medical Center charges insurers about $90, or about $314 in cash — below the fair price — a good deal. Located in Meriden, CT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $80 | 105% |
| Blue Cross Blue Shieldmajor | $80 - $135 | 105% |
| Aetnamajor | $80 - $210 | 105% |
| Cignamajor | $226 | 297% |
| Molina | $80 - $233 | 105% |
| Tufts Health Plan | $80 | 105% |
| WellCare | $80 | 105% |
| + 1 smaller / regional plan | $80 |
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 Midstate Medical Center
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
- Saint Mary's Hospital · Waterbury $92
- 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 Midstate Medical Center (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).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Midstate Medical Center's published 45 CFR § 180 self-pay cash rate is $314 (vs. $90 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $102 Fair BaseRate ($76 Medicare)
Your bill ($314) is $212 above the denoised Fair BaseRate ($102) 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.