CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Allegheny Valley Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $77
Cash Discount Price: $291
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Allegheny Valley Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.01x the Medicare baseline. Located in 1301 Carlisle St, Natrona, PA.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $291 (382%)

Insurance Median: $77 (101%)

Cash: $291 (382% of Medicare)

Ins. Median: $77 (101% 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	$22 - $183	29%
Amerihealth	$23 - $76	30%
Pennsylvania Health And Wellness	$29 - $33	38%
Highmark Wholecare	$30 - $77	39%
Geisinger	$31 - $35	41%
UnitedHealthcare	$31 - $150	41%
Highmark	$35 - $120	46%
Univera	$63 - $83	83%
American Health Plans	$73	96%
Life Pittsburgh	$73	96%
Martin'S Point	$73	96%
Medicare (plans)	$75	98%
Humana	$77	101%
Cigna	$78 - $122	102%
Molina	$79	104%

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 $291.
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 Allegheny Valley 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.