CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Penobscot Valley Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 1.8× the $76 Medicare rate · typically $88–$226
modeled estimate · not a bill or quote
What this hospital charges insurers
$226
Above the fair price
about $90 over the fair price · 3.0× Medicare
Medicare pays $76 Fair price $136 This hospital $226 Cash price $373 Hospital's list price $467

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 9 ME hospitals we have prices for — worth calling around.

Cheapest $72 Priciest $226

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

A fair price for a Speech therapy (language evaluation) is about $136 (about 1.8× the $76 Medicare rate). Penobscot Valley Hospital charges insurers about $226, or about $373 in cash — above the fair price. Located in Lincoln, ME.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $136. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $110 - $518 144%
Blue Cross Blue Shieldmajor $114 - $307 150%
Aetnamajor $113 - $621 148%
Cignamajor $225 - $609 295%
Humanamajor $112 - $301 147%
Harvard Pilgrim $229 - $618 301%
WellCare $112 - $301 147%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals