CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Curry General Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $364
Cash Discount Price: $383
vs. Medicare Baseline: 4.78x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Curry General Hospital is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.78x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$383

Average discount available for prompt cash payment at this facility.

Insurance Median

$364

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: $383 (503%)

Insurance Median: $364 (478%)

Cash: $383 (503% of Medicare)

Ins. Median: $364 (478% 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 478% of the Medicare baseline (a markup of 378%). 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
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$49	64%
Tricare	$119	156%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$166	218%
Medicare (plans)	$166 - $249	218%
Blue Cross Blue Shield	$195 - $383	256%
First Choice Health Admin [1294]	$227	298%
First Choice [528]	$227	298%
Medicaid / KanCare	$241 - $249	316%
Department Of Corrections [1051]	$249	327%
Allcare Alt [2598]	$300	394%
Allcare [1695]	$300	394%
Coordinated Care Commercial [1649]	$326	428%
Pacificsource [1148]	$326	428%
Moda [512]	$329 - $345	432%
Multiplan [1131]	$349	458%
Asuris [1258]	$364	478%
Operating Engineers [1144]	$364	478%
Regence [1351]	$364 - $383	478%
Cigna	$375 - $383	492%
Coventry First Health Managed Care [1774]	$375	492%
Coventry Health [1046]	$375	492%
Providence Health Plan Plm Alt [1692]	$375	492%
Providence Health Plan [567]	$375	492%
Aetna	$383	503%
Employee Bene Admin Mgmt [525]	$383	503%
Geha [531]	$383	503%
Mailhandlers Benefit Pln [547]	$383	503%
Meritain [550]	$383	503%
Nw Sheet Metal Workers [597]	$383	503%
Trustmark [524]	$383	503%
UnitedHealthcare	$383	503%
Zenith Administrators [586]	$383	503%

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 $383.
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 Curry 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.