CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Pinckneyville Community Hospital
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$117
about 1.5× the $76 Medicare rate · typically $67–$359
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $117 Cash price $391 Hospital's list price $391
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
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 | $145 - $321 | 190% |
| Blue Cross Blue Shieldmajor | $282 - $1,243 | 370% |
| Aetnamajor | $148 - $1,243 | 194% |
| Cignamajor | $323 | 424% |
| Humanamajor | $145 | 190% |
| Ambetter (Centene) | $1,243 | 1632% |
| HealthLink | $307 | 403% |
| WellCare | $145 | 190% |
| + 1 smaller / regional plan | $145 |
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pinckneyville Community Hospital
Compare: Speech therapy (language evaluation) at other IL hospitals
- Ferrell Hospital Community Foundations · Eldorado $51
- Carle Eureka Hospital · Eureka $52
- Carle Hoopeston Regional Health Center · Hoopeston $52
- Crawford Memorial Hospital · Robinson $57
- Morrison Community Hospital · Morrison $62
- John H Stroger Jr Hospital · Chicago $71
- Decatur Memorial Hospital · Decatur $72
- Memorial Medical Center · Springfield $72
Insurance negotiated median for the same procedure, sorted lowest first.