CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Wabash General Hospital 1

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $78
Cash Discount Price: $100
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Wabash General Hospital 1 is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.02x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $100 (131%)

Insurance Median: $78 (102%)

Cash: $100 (131% of Medicare)

Ins. Median: $78 (102% 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
Blue Cross Blue Shield	$12 - $550	16%
UnitedHealthcare	$12 - $204	16%
Health Alliance Mcr Adv - All Plans	$13 - $208	17%
Aetna	$26 - $550	34%
Healthlink Hmo	$28 - $112	37%
Cigna	$30 - $120	39%
Encore Combined Ip/Op Only	$30 - $120	39%
Hope Trust - All Plans	$30 - $120	39%
Healthlink Ppo - All Other Plans	$32 - $128	42%
Phcs - All Plans	$32 - $128	42%
Health Smart - All Plans	$34 - $136	45%
Hfn - All Plans	$34 - $136	45%
Multiplan - All Plans	$34 - $136	45%
Siho Network - All Plans	$34 - $136	45%
Encore Health Network Ip/Op Only - All Other Plans	$36 - $144	47%
Meridian Mcaid - All Plans	$550	722%
Molina Mcaid - All Plans	$550	722%

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 $100.
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 Wabash General Hospital 1 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.