CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $196
Cash Discount Price: $101
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mary Hitchcock Memorial Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.57x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$101

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $101 (133%)

Insurance Median: $196 (257%)

Cash: $101 (133% of Medicare)

Ins. Median: $196 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Amerihealth Caritas Nh	$15 - $38	20%
Beacon Health Strategies/Carelon	$15 - $40	20%
Granite State Health Plan	$15 - $42	20%
Wellsense Health Plan	$15 - $80	20%
Harvard Pilgrim Health Care Of Ne	$56 - $306	74%
Blue Cross Blue Shield	$76 - $506	100%
Martin'S Point Generations Advantage	$76	100%
Mvp	$76 - $246	100%
UnitedHealthcare	$76 - $304	100%
Martin'S Point Health Care	$77 - $114	101%
Aetna	$78 - $232	102%
Cigna	$78 - $291	102%
Wellcare Health Plans	$79	104%
Ambetter / Centene	$80 - $250	105%
Tufts Health Plan	$186 - $306	244%
Mass General Brigham Health Plan	$190 - $215	250%
Maine Community Health Options	$211 - $243	277%
Coventry	$288	378%
First Health/Hcvm	$288	378%
Phcs	$298	391%
Corvel	$305	401%
Ccmsi	$314	412%

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 $101.
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 Mary Hitchcock Memorial 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.