CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: East Liverpool City Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $88
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at East Liverpool City Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.16x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $73 (96%)
Insurance Median: $88 (116%)
Cash: $73 (96% of Medicare)
Ins. Median: $88 (116% 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.

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
UnitedHealthcare $72 - $100 95%
Blue Cross Blue Shield $73 - $98 96%
Buckeye Community Health Plan $73 - $117 96%
Health America $73 96%
Medical Mutual Of Oh $73 96%
Medicare (plans) $73 96%
Molina $73 - $106 96%
Tricare $73 96%
Care Source $76 - $106 100%
Devoted Health $77 101%
Communicare $78 102%
Valor Health Plan $78 102%
Perennial $81 106%
Naphcare $88 116%
Medicaid / KanCare $95 125%
Standard Eapg Logic $95 125%
Paramount $98 129%
Amerihealth Caritas $100 131%
Employer Direct Healthcare $103 135%
Three Rivers $106 139%
Provider Select $109 143%
Multiplan (Fka Private Healthcare Systems) $110 144%
Worker Compensation $110 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals