CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Samaritan Hospital of Troy, New York
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$93
about 1.2× the $76 Medicare rate · typically $64–$194
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $93 Cash price $94 Hospital's list price $144
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $22 - $383 | 29% |
| Blue Cross Blue Shieldmajor | $11 - $297 | 14% |
| Aetnamajor | $79 - $230 | 104% |
| Cignamajor | $269 | 353% |
| Fidelis Care | $135 | 177% |
| GEHA | $230 | 302% |
| Harvard Pilgrim | $383 | 503% |
| HealthPartners | $269 | 353% |
| Independent Health | $122 | 160% |
| MagnaCare | $122 | 160% |
| Medical Mutual | $230 | 302% |
| MVP Health Care | $158 - $170 | 207% |
| Priority Health | $269 | 353% |
| Tufts Health Plan | $269 | 353% |
| UniCare | $292 | 383% |
| + 21 smaller / regional plans | $75 - $316 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Speech therapy (language evaluation) at other NY hospitals
- UPMC Chautauqua at Wca · Jamestown $48
- Elizabethtown Community Hospital · Elizabethtown $50
- Highland Hospital · Rochester $57
- Strong Memorial Hospital · Rochester $62
- Sisters of Charity Hospital · Buffalo $69
- Kenmore Mercy Hospital · Kenmore $69
- Mercy Hospital of Buffalo · Buffalo $69
- F F Thompson Hospital · Canandaigua $73
Insurance negotiated median for the same procedure, sorted lowest first.