CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Samaritan Albany General Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $141
Cash Discount Price: $211
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Samaritan Albany General Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.85x the Medicare baseline. Located in 1046 6Th Avenue Sw, Albany, OR.

Cash / Self-Pay

$211

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $211 (277%)

Insurance Median: $141 (185%)

Cash: $211 (277% of Medicare)

Ins. Median: $141 (185% 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
Pacificsource	$64 - $166	84%
Devoted Health	$73 - $113	96%
Healthnet	$73 - $262	96%
Humana	$73 - $263	96%
Cigna	$74 - $256	97%
Samaritan	$74 - $251	97%
Ihn	$80 - $82	105%
Regence	$82 - $306	108%
Moda	$90 - $491	118%
Providence	$96 - $505	126%
Aetna	$130 - $256	171%
First Choice	$172	226%

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 $211.
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 Samaritan Albany General 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.