Speech therapy (language evaluation)
Facility: Newton Medical Center
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $83 compared to the $101 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.82× fair market pricing.
A typical price — 0 charge more and 3 charge less, among the 9 NJ hospitals compared.
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 $101 (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
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 |
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.
Other Procedures at Newton Medical Center
Compare: Speech therapy (language evaluation) at other NJ hospitals
- The University Hospital · Newark $35
- St Luke's Warren Hospital · Phillipsburg $45
- Centrastate Medical Center · Freehold $80
- Cooper University Hospital · Camden $83
- Morristown Medical Center · Morristown $83
- Chilton Medical Center · Pompton Plains $83
- Overlook Medical Center · Summit $83
- Carewell Health Medical Center · East Orange $83
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Newton Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $314
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $314).
Self-Pay Cash Rate ($231) Beats Your Bill
Newton Medical Center's published 45 CFR § 180 self-pay cash rate is $231 (vs. $83 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $101 Fair BaseRate ($76 Medicare)
Your bill ($866) is $765 above the denoised Fair BaseRate ($101) and 11.4× the $76 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.