CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Pottstown Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 1.0× the $76 Medicare rate · typically $30–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $43 under the fair price · 0.4× Medicare
Medicare pays $76 Fair price $77 This hospital $34 Cash price $136 Hospital's list price $545

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $32 Priciest $37

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Speech therapy (language evaluation) is about $77 (about 1.0× the $76 Medicare rate). Pottstown Hospital charges insurers about $34, or about $136 in cash — below the fair price — a good deal. Located in Pottstown, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $109 - $652 143%
Aetnamajor $37 49%
Cignamajor $125 164%
Geisinger $26 34%
HealthPartners $27 35%
UPMC Health Plan $30 - $614 39%
+ 4 smaller / regional plans $27 - $803
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1600 East High Street, Pottstown, PA 19464
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals