CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Cheshire Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $148
Cash Discount Price: $90
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Cheshire Medical Center is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.94x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $90 (118%)

Insurance Median: $148 (194%)

Cash: $90 (118% of Medicare)

Ins. Median: $148 (194% 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.

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	$40 - $76	53%
Wellsense Health Plan	$45 - $81	59%
Granite State Health Plan	$54 - $76	71%
Harvard Pilgrim Health Care Of Ne	$69 - $148	91%
Aetna	$76 - $222	100%
Ambetter / Centene	$76 - $79	100%
Blue Cross Blue Shield	$76 - $317	100%
Cigna	$76 - $190	100%
Martin'S Point Generations Advantage	$76 - $79	100%
Mvp	$76 - $190	100%
UnitedHealthcare	$76 - $258	100%
Wellcare Health Plans	$76 - $79	100%
Martin'S Point Health Care	$77 - $79	101%
Mass General Brigham Health Plan	$81 - $325	106%
Maine Community Health Options	$146	192%
Tufts Health Plan	$207 - $211	272%
First Health/Hcvm	$276	362%
Phcs	$292	383%

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 $90.
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 Cheshire 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.