CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: St Charles Hospital
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$100
about 1.3× the $76 Medicare rate · typically $51–$195
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $100 Hospital's list price $370
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 | $11 - $303 | 14% |
| Blue Cross Blue Shieldmajor | $185 - $270 | 243% |
| Aetnamajor | $185 - $356 | 243% |
| Cignamajor | $240 - $293 | 315% |
| AmeriHealth | $166 | 218% |
| Fidelis Care | $8 - $11 | 11% |
| MVP Health Care | $293 | 385% |
| Oscar Health | $152 | 200% |
| UniCare | $240 | 315% |
| + 37 smaller / regional plans | $11 - $370 |
Government programs also on file: Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St Charles Hospital
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.