CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Chester County Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $141
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Chester County Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.85x the Medicare baseline. Located in 701 East Marshall Street, West Chester, PA.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $357 (469%)
Insurance Median: $141 (185%)
Cash: $357 (469% of Medicare)
Ins. Median: $141 (185% 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.

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
Gateway $22 - $97 29%
Medicaid / KanCare $22 - $357 29%
Keystone First $28 37%
UnitedHealthcare $31 - $235 41%
Health Partners $51 - $357 67%
Hospice Vna $78 102%
Medicare (plans) $78 - $80 102%
Primecare Medical $78 102%
Tricare $78 102%
Us Family Health Plan $78 102%
Va Medical Center $78 102%
Cigna $81 - $357 106%
Humana $81 106%
Devoted Health $82 108%
Pa Health And Wellness $82 - $129 108%
Pgm - Regie De L'Assurance Maladie Quebec $82 108%
Aetna $83 - $233 109%
Clover Health Plan $83 109%
Mva Insurance $86 113%
Keystone First Vip Choice $87 114%
Todays Option $100 131%
Elap $111 146%
Preferred Health Care Eliance $111 146%
Claims Watcher $125 - $141 164%
Pgm - Kuwait Defense $125 - $161 164%
Medrisk $130 - $357 171%
Oscar Health Plan $133 175%
Qualcare $136 179%
Centivo $141 185%
Pgm - Chop $143 188%
Elap Services $146 192%
Highmark $161 211%
Penn Global Medicine $208 273%
Ibc $213 - $238 280%
Keystone Hmo Proactive $213 280%
Pgm - Royal Embassy Of Saudi Arabia $214 281%
Pgm - Embassy Of Qatar $232 305%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $232 305%
Geisinger Health Plan $248 326%
Pgm - Embassy Of The United Emirates/Ipc $250 328%
Healthamerica/Coventry $268 352%
Pgm - Kuwait Health Division $286 376%
Pgm - Kuwait Oil $286 376%
Preferred Health Care $286 376%
Intergroup $303 398%
Olympus $313 411%
International Pfs $357 469%
La Comunidad Hispana $357 469%
Not Adjusted $357 469%
Workers Compensation $357 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 East Marshall Street, West Chester, PA 19380
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals