CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Hospital of Univ of Pennsylvania
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $140
- Cash Discount Price: $262
- vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Hospital of Univ of Pennsylvania is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.84x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$262
Average discount available for prompt cash payment at this facility.
Insurance Median
$140
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: $262 (344%)
Insurance Median: $140 (184%)
Cash: $262 (344% of Medicare)
Ins. Median: $140 (184% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $22 - $263 | 29% |
| Pa Medical Assistance | $22 - $263 | 29% |
| Kaiser Permanente | $23 - $263 | 30% |
| Keystone Mercy Health Plan | $28 - $263 | 37% |
| Paired Kidney Exchange | $35 - $134 | 46% |
| Horizon Nj Health | $36 - $46 | 47% |
| Upmc | $37 - $263 | 49% |
| Gspp And Wissahickon Hospice | $39 | 51% |
| UnitedHealthcare | $43 - $263 | 56% |
| Preferred Health Care Eliance | $48 - $58 | 63% |
| Pgm - Regie De L'Assurance Maladie Quebec | $50 - $60 | 66% |
| Health Partners | $51 - $263 | 67% |
| Blue Cross Blue Shield | $58 - $263 | 76% |
| Cigna | $75 - $135 | 98% |
| Pgm - Kuwait Defense | $76 - $118 | 100% |
| Medicare (plans) | $78 - $79 | 102% |
| Philadelphia Va Medical Center | $78 | 102% |
| Tricare | $78 | 102% |
| Us Family Health Plan | $78 | 102% |
| Ibc | $79 | 104% |
| Aetna | $80 - $263 | 105% |
| Geisinger Health Plan | $80 - $247 | 105% |
| Humana | $80 - $210 | 105% |
| Devoted Health | $82 | 108% |
| Pa Health And Wellness | $82 - $129 | 108% |
| Penn Life (Living Independently For Elders) | $82 | 108% |
| Qualcare | $82 - $100 | 108% |
| Clover Health Plan | $84 | 110% |
| Olympus | $85 - $103 | 112% |
| Coventry | $86 - $134 | 113% |
| Keystone First | $86 | 113% |
| Pgm - Chop | $86 - $105 | 113% |
| Wissahickon Hospice | $86 - $105 | 113% |
| Gateway Health Plan | $97 | 127% |
| Healthamerica/Coventry | $97 - $129 | 127% |
| First Health Global | $108 - $132 | 142% |
| Elap | $111 | 146% |
| Claims Watcher | $125 - $140 | 164% |
| Health Net | $130 - $158 | 171% |
| Pgm - Royal Embassy Of Saudi Arabia | $130 - $158 | 171% |
| Oscar Health Plan | $132 | 173% |
| Centivo | $140 | 184% |
| Pgm - Embassy Of Qatar | $140 - $171 | 184% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $140 - $171 | 184% |
| Elap Services | $145 | 190% |
| Interlink | $145 - $176 | 190% |
| Pgm - Embassy Of The United Emirates/Ipc | $151 - $184 | 198% |
| Highmark | $164 | 215% |
| Health America/Ccn | $173 - $210 | 227% |
| Intergroup | $173 - $210 | 227% |
| Pgm - Kuwait Health Division | $173 - $210 | 227% |
| Pgm - Kuwait Oil | $173 - $210 | 227% |
| Preferred Care | $173 - $210 | 227% |
| Penn Global Medicine | $206 | 271% |
| Blue Quality Centers For Transplant (Bqct) | $216 - $263 | 284% |
| City Of Philadelphia Behavioral Health | $216 - $263 | 284% |
| Commercial Other | $216 - $263 | 284% |
| Ibc Commercial Hpn | $216 - $239 | 284% |
| International Pfs | $216 - $263 | 284% |
| Keystone Hmo Proactive | $216 - $245 | 284% |
| United Behavioral Health | $216 - $263 | 284% |
| Workers Compensation | $216 - $263 | 284% |