CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Crouse Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $107
Cash Discount Price: $192
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Crouse Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.41x the Medicare baseline. Located in 736 Irving Avenue, Syracuse, NY.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$76.15

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $76.15 (100%)

Cash / Self-Pay: $192 (252%)

Insurance Median: $107 (141%)

Cash: $192 (252% of Medicare)

Ins. Median: $107 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $76.15 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Excellus	$62 - $230	81%
Aetna	$71 - $112	93%
Brighton Healthplan	$71 - $107	93%
Cdphp	$71	93%
Emblemhealth	$71	93%
Fidelis	$71 - $241	93%
Humana	$71	93%
Martins Point	$71	93%
Mvp	$71 - $241	93%
Nascentia	$71	93%
UnitedHealthcare	$71 - $107	93%
Mycompass	$73 - $110	96%
Wellcare	$74 - $128	97%
Healthfirst Health Plan	$107 - $118	141%
Molina	$107 - $241	141%
Emblem Health	$159 - $230	209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $192.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crouse Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.