CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Parkland Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $324
Cash Discount Price: $674
vs. Medicare Baseline: 4.25x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Parkland Medical Center is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.25x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$674

Average discount available for prompt cash payment at this facility.

Insurance Median

$324

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: $674 (885%)

Insurance Median: $324 (425%)

Cash: $674 (885% of Medicare)

Ins. Median: $324 (425% 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 425% of the Medicare baseline (a markup of 325%). 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	$17 - $25	22%
Well Sense Health Plan	$41 - $60	54%
John Hancock	$62	81%
Humana	$74 - $77	97%
Martin'S Point Health	$75 - $81	98%
United Behavioral Health	$77	101%
United Va Ccn	$77	101%
Blue Cross Blue Shield	$79 - $349	104%
Cigna	$79	104%
Evernorth Behavioral Health	$79	104%
United	$79 - $485	104%
Ambetter / Centene	$138	181%
Maine Community Health	$172 - $423	226%
Tufts Health Plan	$314 - $470	412%
Aetna	$327 - $533	429%
Corvel	$396 - $575	520%
Evernorth	$440 - $639	578%
Healthcare Value Mgmt	$462 - $671	607%
First Health	$467 - $679	613%
Oxford Health Plans	$522 - $759	685%

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 $674.
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 Parkland Medical Center 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.