Speech therapy (language evaluation)
Facility: Mount Carmel East & West
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $96 compared to the $86 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.12× fair market pricing.
Highest price of the 9 OH hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
A fair price for a Speech therapy (language evaluation) is about $86 (about 1.1× the $76 Medicare rate). Mount Carmel East & West charges insurers about $96, or about $146 in cash — about the fair price. Located in Columbus, OH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $74 - $283 | 97% |
| Blue Cross Blue Shieldmajor | $72 - $224 | 95% |
| Aetnamajor | $72 - $224 | 95% |
| Cignamajor | $232 | 305% |
| Humanamajor | $115 - $224 | 151% |
| AmeriHealth | $105 | 138% |
| CareSource | $164 | 215% |
| GEHA | $101 - $283 | 133% |
| HealthLink | $168 | 221% |
| HealthPartners | $232 | 305% |
| MagnaCare | $105 | 138% |
| Medical Mutual | $134 - $186 | 176% |
| MVP Health Care | $232 | 305% |
| Oscar Health | $122 | 160% |
| Priority Health | $232 | 305% |
| Sentara | $224 | 294% |
| UniCare | $105 | 138% |
| + 90 smaller / regional plans | $75 - $632 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mount Carmel East & West
Compare: Speech therapy (language evaluation) at other OH hospitals
- Highland District Hospital · Hillsboro $45
- University of Toledo Medical Center · Toledo $72
- Fisher-Titus Hospital · Norwalk $72
- Fairfield Medical Center · Lancaster $72
- University Hospitals Portage Medical Center · Ravenna $72
- Bellevue Hospital · Bellevue $72
- Pomerene Hospital · Millersburg $72
- Southwest General Health Center · Middleburg Heights $72
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mount Carmel East & West (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $81
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $81).
Self-Pay Cash Rate ($146) Beats Your Bill
Mount Carmel East & West's published 45 CFR § 180 self-pay cash rate is $146 (vs. $96 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $86 Fair BaseRate ($76 Medicare)
Your bill ($224) is $138 above the denoised Fair BaseRate ($86) and 2.9× the $76 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.