CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$88
about 1.2× the $76 Medicare rate · typically $65–$202
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $5 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $88 This hospital $83

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $48 Priciest $83

Black dot = this hospital, among the 9 NY 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). Montefiore Mount Vernon Hospital charges insurers about $83 — about the fair price. Located in Mount Vernon, NY.

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 $78 - $85 102%
Blue Cross Blue Shieldmajor $85 112%
Aetnamajor $336 - $376 441%
Cignamajor $284 - $315 373%
Humanamajor $94 123%
Fidelis Care $8 - $85 11%
Molina $117 154%
MVP Health Care $176 231%
WellCare $87 114%
+ 10 smaller / regional plans $78 - $394

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals