CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: UPMC Somerset
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$81
about 1.1× the $76 Medicare rate · typically $29–$107
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $81 Cash price $298 Hospital's list price $497
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $25 - $330 | 33% |
| Blue Cross Blue Shieldmajor | $28 - $382 | 37% |
| Aetnamajor | $130 - $306 | 171% |
| Humanamajor | $244 - $574 | 320% |
| AmeriHealth | $25 | 33% |
| Geisinger | $30 - $301 | 39% |
| UPMC Health Plan | $24 - $188 | 32% |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC Somerset
Compare: Speech therapy (language evaluation) at other PA hospitals
- UPMC Memorial · York $32
- Temple Health - Chestnut Hill Hospital · Philadelphia $33
- UPMC Altoona · Altoona $33
- UPMC Bedford Memorial · Everett $33
- UPMC Horizon · Greenville $33
- Pottstown Hospital · Pottstown $34
- UPMC Hamot · Erie $35
- UPMC Jameson · New Castle $37
Insurance negotiated median for the same procedure, sorted lowest first.