CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Arnot Ogden Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$88

about 1.2× the $76 Medicare rate · typically $72–$132

modeled estimate · not a bill or quote

What this hospital charges insurers

$87

About the fair price

about $1 under the fair price · 1.1× Medicare

Medicare pays $76 Fair price $88 This hospital $87 Cash price $117 Hospital's list price $198

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 $87

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). Arnot Ogden Medical Center charges insurers about $87, or about $117 in cash — about the fair price. Located in Elmira, 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	$133 - $146	175%
Blue Cross Blue Shieldmajor	$41 - $585	54%
Aetnamajor	$41 - $148	54%
Cignamajor	$120	158%
Humanamajor	$74 - $182	97%
AmeriHealth	$22 - $75	29%
Fidelis Care	$8 - $110	11%
Geisinger	$102 - $118	134%
Independent Health	$125	164%
MVP Health Care	$120	158%
UPMC Health Plan	$133	175%
+ 6 smaller / regional plans	$63 - $581

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 117), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 92507.

Insurance Before you use insurance

Call your insurance company to confirm Arnot Ogden Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 92507.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Arnot Ogden Medical Center

Compare: Speech therapy (language evaluation) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.