CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Mary's General Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 1.2× the $76 Medicare rate · typically $86–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$226
Well above the fair price
about $133 over the fair price · 3.0× Medicare
Medicare pays $76 Fair price $93 This hospital $226 Cash price $84 Hospital's list price $482

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $35 Priciest $226

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

A fair price for a Speech therapy (language evaluation) is about $93 (about 1.2× the $76 Medicare rate). St Mary's General Hospital charges insurers about $226, or about $84 in cash — well above the fair price. Located in Passaic, NJ.

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 $93. 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 $84 - $432 110%
Blue Cross Blue Shieldmajor $84 110%
Aetnamajor $84 - $178 110%
Cignamajor $158 207%
Humanamajor $67 88%
AmeriHealth $84 110%
Clover Health $84 110%
WellCare $84 - $114 110%
+ 4 smaller / regional plans $84 - $563
Government programs also on file: Medicare, Military & VA.

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: 350 Boulevard, Passaic, NJ 07055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals