CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Fostoria Community Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $276
Cash Discount Price: $339
vs. Medicare Baseline: 3.62x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Fostoria Community Hospital is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.62x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$339

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $339 (445%)

Insurance Median: $276 (362%)

Cash: $339 (445% of Medicare)

Ins. Median: $276 (362% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 362% of the Medicare baseline (a markup of 262%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Buckeye Community Health Plan	$38 - $116	50%
Dayton Area Health Plan Dba Caresource	$40 - $216	53%
UnitedHealthcare	$40 - $312	53%
Meridian Health Plan Of Mi	$61	80%
Paramount Health Care	$70 - $276	92%
Blue Cross Blue Shield	$72 - $338	95%
Health Alliance Plan	$72 - $391	95%
Health Value Management	$72 - $113	95%
Buckeye Community Health Plan Inc	$82 - $189	108%
Aetna	$83 - $349	109%
Amerihealth	$109	143%
Veterans Affairs	$115	151%
Medical Mutual Of Ohio	$294 - $313	386%
Frontpath Health Coalition	$300	394%
Ohio Health Choice	$339	445%
Ohio Ppo Connect	$339 - $391	445%
Health Ohio Network	$412	541%
Connecticut General Life Insurance Company	$416	546%

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 $339.
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 Fostoria Community Hospital 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.