CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Excela Health Latrobe Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $68
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Excela Health Latrobe Hospital is $68. 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 0.89x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $68 (89%)
Cash: $116 (152% of Medicare)
Ins. Median: $68 (89% 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
Geisinger $26 - $76 34%
Health Partners Plans $26 34%
Highmark Advantage Community Blue $27 - $68 35%
Highmark Wholecare $27 - $79 35%
Amerihealth Caritas $28 - $76 37%
Pa Health And Wellness $28 - $78 37%
Upmc $28 - $78 37%
Va $29 - $73 38%
Cigna $30 - $182 39%
Devoted $30 - $76 39%
Health Partners Plan $30 - $75 39%
Humana $30 - $76 39%
Martin'S Point $30 - $75 39%
Peak Health $30 - $171 39%
United $30 - $76 39%
The Health Plan Of West Virginia $31 - $171 41%
American Health Plan Of Pa $32 - $80 42%
Provider Network Of America $32 - $154 42%
Provider Plan Partners Plan $32 - $80 42%
UnitedHealthcare $32 - $80 42%
Upmc For Kids Chip $34 45%
Upmc Health Plan $34 - $147 45%
Highmark Children'S Health Insurance Program $35 - $87 46%
Ambetter / Centene $36 - $91 47%
Highmark $39 - $160 51%
Velocity $44 - $109 58%
Community Blue $58 - $144 76%
Aetna $75 - $167 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals