CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Goshen Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $70
Cash Discount Price: $346
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Goshen Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.92x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $346 (454%)

Insurance Median: $70 (92%)

Cash: $346 (454% of Medicare)

Ins. Median: $70 (92% 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
Advantage Health Solutions	$70	92%
Aetna	$70	92%
Atrio Health Plans	$70	92%
Bc Federal Employee	$70	92%
Bc Mcr Advantage Ppo	$70	92%
Blue Cross Blue Shield	$70	92%
Buckeye Health Plan	$70	92%
Cigna	$70	92%
Coventry Health And Life	$70	92%
Emblem Health	$70	92%
Freedom Healthcare	$70	92%
Geisinger Health Plan	$70	92%
Health First	$70	92%
Healthspring	$70	92%
Humana	$70	92%
Iehp Empire Health Plan	$70	92%
Independent Care Health Plan	$70	92%
Kaiser Permanente	$70	92%
Mcr Advantra Freedom	$70	92%
Mcr Allwell Mhs	$70	92%
Mcr Banner Health	$70	92%
Mcr Complete	$70	92%
Mcr Complete Ppo	$70	92%
Mcr Complete Wellmed	$70	92%
Mcr Health Alliance	$70	92%
Mcr Health Partners Plans	$70	92%
Mcr Medical Mutual Of Ohio	$70	92%
Mcr Passport Advantage	$70	92%
Mcr Secure Horizons Ppo	$70	92%
Mcr Texan Plus	$70	92%
Mcr Upmc For Life	$70	92%
Medicare (plans)	$70 - $74	92%
Meridian Complete	$70	92%
Optimum Healthcare	$70	92%
Paramount Elite	$70	92%
Primetime Health Plan	$70	92%
Simply Complete Hmo	$70	92%
The Umwa H&R Funds	$70	92%
Todays Options Pyramid Life	$70	92%
Trillium Advantage	$70	92%
Ucare For Seniors	$70	92%
Ucare Minnesota	$70	92%
UnitedHealthcare	$70	92%
Wellcare	$70	92%
Champva	$72	95%
Tricare	$72	95%
Mcr Devoted Health Plan	$74	97%
Mcr Provider Partners Hlth Pln	$79	104%
Ambetter / Centene	$101	133%
Mkt Caresource	$101	133%

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 $346.
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 Goshen Hospital 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.