CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: NYU Langone Hospitals

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $355
Cash Discount Price: $117
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at NYU Langone Hospitals is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.66x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

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: $117 (154%)

Insurance Median: $355 (466%)

Cash: $117 (154% of Medicare)

Ins. Median: $355 (466% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 466% of the Medicare baseline (a markup of 366%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
1199	$73	96%
Fidelis	$77 - $469	101%
Healthfirst	$77 - $469	101%
Healthplus	$77 - $469	101%
Ghi	$84 - $428	110%
Hip	$84 - $388	110%
Medicare (plans)	$84 - $85	110%
Wellcare	$84 - $85	110%
Amida	$85	112%
Centerlight	$85 - $87	112%
Metroplus	$118 - $469	155%
Hamaspik	$126 - $128	165%
Medicaid / KanCare	$164 - $208	215%
UnitedHealthcare	$164 - $469	215%
Somos	$173 - $281	227%
Oscar	$239	314%
Oxford	$308 - $358	404%
Aetna	$313 - $616	411%
Magnacare	$370 - $596	486%
Cigna	$393	516%
Blue Cross Blue Shield	$476 - $595	625%
Multiplan	$480	630%

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 $117.
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 NYU Langone Hospitals 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.