CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Coshocton Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $93
Cash Discount Price: $73
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Coshocton Regional Medical Center is $93. 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 1.22x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $93 (122%)

Cash: $73 (96% of Medicare)

Ins. Median: $93 (122% 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
Blue Cross Blue Shield	$73 - $96	96%
Care Source	$73 - $106	96%
Medicare (plans)	$73	96%
Molina	$73 - $106	96%
The Health Plan	$73	96%
Tricare	$73	96%
UnitedHealthcare	$73 - $98	96%
Med Mutual Of Oh	$75	98%
Buckeye Community Health Plan	$77 - $93	101%
Devoted Health	$77	101%
Valor Health Plan	$78	102%
Perennial Advantage	$81	106%
Medicaid / KanCare	$93	122%
Standard Eapg Logic	$93	122%
Amerihealth Caritas	$98	129%
Paramount	$98	129%
Quality Care Partner	$98	129%
Employer Direct Healthcare	$103	135%
Americas Choice Provider Network	$110	144%
Corvel	$110	144%
Healthsmart	$110	144%
Multiplan	$110	144%
Provider Network Of America	$110	144%
Provider Select	$110	144%
Three Rivers	$110	144%
Workers Compensation	$110	144%

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 $73.
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 Coshocton Regional Medical Center 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.