Speech therapy (language evaluation)
Facility: AHS Hospital Corp
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $83 compared to the $88 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.94× 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 $88 (about 1.2× the $76 Medicare rate). AHS Hospital Corp charges insurers about $83, or about $185 in cash — about the fair price. Located in Hackettstown, 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 | $25 - $135 | 33% |
| Aetnamajor | $31 - $175 | 41% |
| Cignamajor | $83 - $138 | 109% |
| Humanamajor | $187 | 246% |
| Kaiser Permanentemajor | $145 - $488 | 190% |
| Ambetter (Centene) | $83 | 109% |
| AmeriHealth | $83 - $585 | 109% |
| GEHA | $315 | 414% |
| Harvard Pilgrim | $315 | 414% |
| Health Net | $175 - $754 | 230% |
| MagnaCare | $211 - $710 | 277% |
| MVP Health Care | $125 | 164% |
| Oscar Health | $187 | 246% |
| Tufts Health Plan | $125 | 164% |
| UPMC Health Plan | $83 | 109% |
| WellCare | $83 | 109% |
| + 78 smaller / regional plans | $28 - $887 |
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 AHS Hospital Corp
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
- Newton Medical Center · Newton $83
- Overlook Medical Center · Summit $83
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at AHS Hospital Corp (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $242
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 = $242).
Self-Pay Cash Rate ($185) Beats Your Bill
AHS Hospital Corp's published 45 CFR § 180 self-pay cash rate is $185 (vs. $83 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $88 Fair BaseRate ($76 Medicare)
Your bill ($666) is $578 above the denoised Fair BaseRate ($88) and 8.8× 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.