CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: PAM Rehabilitation Hospital of Dayton LLC

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $87
Cash Discount Price: $360
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at PAM Rehabilitation Hospital of Dayton LLC is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.14x the Medicare baseline. Located in 2310 Crosspointe Dr, Miamisburg, OH.

Cash / Self-Pay

$360

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $360 (473%)

Insurance Median: $87 (114%)

Cash: $360 (473% of Medicare)

Ins. Median: $87 (114% 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
Aetna	$49 - $72	64%
Palm Beach Aco Reach	$70	92%
Blue Cross Blue Shield	$72 - $140	95%
Buckeye Community Health Plan	$72 - $101	95%
Caresource	$72 - $101	95%
Humana	$72 - $101	95%
Ilumed Aco Reach	$72	95%
Medical Mutual Of Ohio	$72 - $100	95%
Molina	$72 - $101	95%
The Health Plan	$72	95%
UnitedHealthcare	$72 - $175	95%
Mount Carmel Health Plan	$83	109%
Velocity Provider Ppo Network	$87 - $270	114%
Custom Design Benefits	$101	133%
America'S Choice Provider Network	$252	331%
Quik Trip	$270	355%
Usa Managed Care Organization	$270	355%
Multiplan/Phcs	$288	378%

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 $360.
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 PAM Rehabilitation Hospital of Dayton LLC 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.