CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $77
Cash Discount Price: $116
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Excela Health Westmoreland Regional Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.01x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.

Cash / Self-Pay

$116

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: $116 (152%)

Insurance Median: $77 (101%)

Cash: $116 (152% 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
Geisinger	$26 - $76	34%
Health Partners Plans	$26	34%
Highmark Wholecare	$27 - $79	35%
Amerihealth Caritas	$28 - $76	37%
Pa Health And Wellness	$28 - $78	37%
Upmc	$28 - $78	37%
Upmc For Kids Chip	$34	45%
Highmark Advantage Community Blue	$68	89%
Aetna	$75 - $167	98%
Health Partners Plan	$75	98%
Martin'S Point	$75	98%
Peak Health	$75 - $171	98%
Cigna	$76 - $182	100%
Community Blue	$76	100%
Devoted	$76	100%
Humana	$76	100%
United	$76	100%
The Health Plan Of West Virginia	$77 - $171	101%
American Health Plan Of Pa	$80	105%
Provider Network Of America	$80 - $154	105%
Provider Plan Partners Plan	$80	105%
UnitedHealthcare	$80	105%
Upmc Health Plan	$84 - $147	110%
Highmark Children'S Health Insurance Program	$87	114%
Ambetter / Centene	$91	120%
Highmark	$98 - $160	129%
Velocity	$109	143%

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 $116.
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 Excela Health Westmoreland Regional 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.