Speech therapy (language evaluation)
Facility: Southwest General Health Center
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $72 compared to the $80 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.90× fair market pricing.
One of the lower prices — 0 of 8 other OH hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Speech therapy (language evaluation) is about $80 (about 1.1× the $76 Medicare rate). Southwest General Health Center charges insurers about $72, or about $237 in cash — about the fair price. Located in Middleburg Heights, 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 | $72 - $332 | 95% |
| Blue Cross Blue Shieldmajor | $72 | 95% |
| Aetnamajor | $72 - $229 | 95% |
| Cignamajor | $193 | 253% |
| Humanamajor | $72 - $129 | 95% |
| CareSource | $122 | 160% |
| Devoted Health | $72 | 95% |
| Medical Mutual | $31 - $72 | 41% |
| Molina | $97 | 127% |
| UniCare | $72 | 95% |
| + 10 smaller / regional plans | $54 - $266 |
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 Southwest General Health Center
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
- Licking Memorial Hospital · Newark $72
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Southwest General Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $115
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 = $115).
Self-Pay Cash Rate ($237) Beats Your Bill
Southwest General Health Center's published 45 CFR § 180 self-pay cash rate is $237 (vs. $72 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $80 Fair BaseRate ($76 Medicare)
Your bill ($316) is $236 above the denoised Fair BaseRate ($80) and 4.2× 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.