CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Glens Falls Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$100

about 1.3× the $76 Medicare rate · typically $75–$212

modeled estimate · not a bill or quote

What this hospital charges insurers

$212

Well above the fair price

about $112 over the fair price · 2.8× Medicare

Medicare pays $76 Fair price $100 This hospital $212 Cash price $137 Hospital's list price $274

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 $212

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 $100 (about 1.3× the $76 Medicare rate). Glens Falls Hospital charges insurers about $212, or about $137 in cash — well above the fair price. Located in Glens Falls, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $100. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$233	306%
Blue Cross Blue Shieldmajor	$98 - $220	129%
Aetnamajor	$78 - $218	102%
CDPHP	$98 - $366	129%
Fidelis Care	$164 - $366	215%
MagnaCare	$206	271%
MVP Health Care	$163 - $524	214%
+ 4 smaller / regional plans	$178 - $317

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 137), 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 Glens Falls Hospital 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Glens Falls Hospital

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

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