Speech therapy (language evaluation)
Facility: Licking Memorial Hospital
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $72 compared to the $77 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.94× 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 $77 (about 1.0× the $76 Medicare rate). Licking Memorial Hospital charges insurers about $72, or about $478 in cash — about the fair price. Located in Newark, 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 - $407 | 95% |
| Blue Cross Blue Shieldmajor | $72 - $411 | 95% |
| Aetnamajor | $72 - $441 | 95% |
| Cignamajor | $72 - $430 | 95% |
| Humanamajor | $72 - $464 | 95% |
| GEHA | $391 | 513% |
| Medical Mutual | $263 - $397 | 345% |
| Molina | $114 | 150% |
| Sentara | $391 | 513% |
| WellCare | $72 | 95% |
| + 26 smaller / regional plans | $335 - $478 |
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 Licking Memorial Hospital
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 Licking Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $174
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 = $174).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Licking Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $478 (vs. $72 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $77 Fair BaseRate ($76 Medicare)
Your bill ($478) is $401 above the denoised Fair BaseRate ($77) and 6.3× 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.