CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: UPMC Horizon

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$74
about 1.0× the $76 Medicare rate · typically $35–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $41 under the fair price · 0.4× Medicare
Medicare pays $76 Fair price $74 This hospital $33 Cash price $383 Hospital's list price $639

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 4 of 8 other PA hospitals charge more for the same procedure.

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 $74 (about 1.0× the $76 Medicare rate). UPMC Horizon charges insurers about $33, or about $383 in cash — below the fair price — a good deal. Located in Greenville, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $23 - $256 30%
Blue Cross Blue Shieldmajor $32 - $320 42%
Aetnamajor $24 - $383 32%
Cignamajor $249 - $256 327%
Humanamajor $543 713%
AmeriHealth $34 45%
Geisinger $30 39%
HealthPartners $33 43%
UPMC Health Plan $24 - $251 32%
+ 5 smaller / regional plans $37 - $524
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: 110 North Main Street, Greenville, PA 16125
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals