CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Newton Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 1.3× the $76 Medicare rate · typically $82–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $16 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $99 This hospital $83 Cash price $231 Hospital's list price $866

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 0 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $35 Priciest $83

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 $99 (about 1.3× the $76 Medicare rate). Newton Medical Center charges insurers about $83, or about $231 in cash — below the fair price — a good deal. Located in Newton, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $306 - $315 402%
Blue Cross Blue Shieldmajor $19 - $783 25%
Aetnamajor $23 - $197 30%
Cignamajor $83 - $138 109%
Humanamajor $187 246%
Kaiser Permanentemajor $158 - $634 207%
Ambetter (Centene) $83 109%
AmeriHealth $83 - $760 109%
GEHA $315 414%
Harvard Pilgrim $315 414%
Health Net $197 - $980 259%
MagnaCare $230 - $922 302%
MVP Health Care $125 164%
Oscar Health $187 246%
Tufts Health Plan $125 164%
UPMC Health Plan $83 109%
WellCare $83 109%
+ 79 smaller / regional plans $21 - $1,153
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals