CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Medstar Harbor Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $387
Cash Discount Price: $379
vs. Medicare Baseline: 5.08x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Medstar Harbor Hospital is $387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 5.08x the Medicare baseline. Located in 3001 South Hanover Street, Baltimore, MD.

Cash / Self-Pay

$379

Average discount available for prompt cash payment at this facility.

Insurance Median

$387

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: $379 (498%)

Insurance Median: $387 (508%)

Cash: $379 (498% of Medicare)

Ins. Median: $387 (508% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 508% of the Medicare baseline (a markup of 408%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$387	508%
Amerigroup	$387	508%
Amerihealth Caritas District Of Columbia	$387	508%
Carefirst Advantage Inc	$387	508%
Carefirst Blue Choice Inc	$387	508%
Cigna	$387	508%
First Health	$387	508%
Hscsn	$387	508%
Humana	$387	508%
Kaiser Permanente	$387	508%
Magellan Behavioral Health Inc	$387	508%
Mamsi	$387	508%
Medstar Family Choice	$387	508%
Medstar Family Choice Inc	$387	508%
Ncppo Healthlink Ppo	$387	508%
Pfc	$387	508%
Private Healthcare Systems (Phcs)	$387	508%
Tricare	$387	508%
United Behavioral Health Inc	$387	508%
UnitedHealthcare	$387	508%

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 $379.
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 Medstar Harbor 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.