CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Southcoast Hospitals Group

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 1.2× the $76 Medicare rate · typically $91–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $10 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $91 This hospital $81 Cash price $165 Hospital's list price $330

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 0 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $78 Priciest $81

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $91 (about 1.2× the $76 Medicare rate). Southcoast Hospitals Group charges insurers about $81, or about $165 in cash — below the fair price — a good deal. Located in Fall River, MA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $78 - $183 102%
Blue Cross Blue Shieldmajor $78 - $201 102%
Aetnamajor $78 - $251 102%
Cignamajor $217 285%
Harvard Pilgrim $265 348%
Priority Health $198 260%
Tufts Health Plan $78 - $412 102%
WellSense $71 - $168 93%
+ 8 smaller / regional plans $78 - $198
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 363 Highland Avenue, Fall River, MA 02720
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals