CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Penn Presbyterian Medical Center
Billing Code: 92507 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 92507
- Insurance Median: $141
- Cash Discount Price: $321
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Penn Presbyterian Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.85x the Medicare baseline. Located in 51 North 39Th Street, Philadelphia, PA.
Cash / Self-Pay
$321
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: $321 (422%)
Insurance Median: $141 (185%)
Cash: $321 (422% 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 |
|---|---|---|
| Medicaid / KanCare | $22 - $495 | 29% |
| Pa Medical Assistance | $22 | 29% |
| Horizon Nj Health | $25 - $87 | 33% |
| Keystone Mercy Health Plan | $28 - $495 | 37% |
| Pgm - Regie De L'Assurance Maladie Quebec | $34 - $114 | 45% |
| Preferred Health Care Eliance | $37 - $124 | 49% |
| Upmc | $37 - $495 | 49% |
| Blue Cross Blue Shield | $40 - $495 | 53% |
| UnitedHealthcare | $43 - $495 | 56% |
| Cigna | $47 - $157 | 62% |
| Health Partners | $51 - $495 | 67% |
| Pgm - Kuwait Defense | $51 - $223 | 67% |
| Devon | $56 - $223 | 74% |
| Qualcare | $56 - $188 | 74% |
| Coventry | $59 - $252 | 77% |
| Pgm - Chop | $59 - $198 | 77% |
| Wissahickon Hospice | $59 - $198 | 77% |
| Aetna | $62 - $495 | 81% |
| Healthamerica/Coventry | $66 - $243 | 87% |
| Olympus | $70 - $235 | 92% |
| First Health Global | $74 - $248 | 97% |
| Urn-Cancer Resource Services | $74 - $248 | 97% |
| Medicare (plans) | $78 - $80 | 102% |
| Philadelphia Va Medical Center | $78 | 102% |
| Tricare | $78 | 102% |
| Us Family Health Plan | $78 | 102% |
| Ibc | $80 | 105% |
| Geisinger Health Plan | $81 - $248 | 106% |
| Humana | $81 - $396 | 106% |
| Pa Health And Wellness | $82 - $129 | 108% |
| Penn Life (Living Independently For Elders) | $82 | 108% |
| Clover Health Plan | $85 | 112% |
| Keystone First | $87 | 114% |
| Health Net | $88 - $297 | 116% |
| Pgm - Royal Embassy Of Saudi Arabia | $88 - $297 | 116% |
| Pgm - Embassy Of Qatar | $96 - $322 | 126% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $96 - $322 | 126% |
| Gateway Health Plan | $97 | 127% |
| Pgm - Embassy Of The United Emirates/Ipc | $103 - $346 | 135% |
| Elap | $111 | 146% |
| Devon Health Services Inc | $118 - $396 | 155% |
| Health America/Ccn | $118 - $396 | 155% |
| Intergroup | $118 - $396 | 155% |
| Pgm - Kuwait Health Division | $118 - $396 | 155% |
| Pgm - Kuwait Oil | $118 - $396 | 155% |
| Preferred Care | $118 - $396 | 155% |
| Claims Watcher | $125 - $141 | 164% |
| Oscar Health Plan | $133 | 175% |
| Centivo | $141 | 185% |
| Elap Services | $146 | 192% |
| Commercial Other | $147 - $495 | 193% |
| Ibc Commercial Hpn | $147 - $239 | 193% |
| International Pfs | $147 - $495 | 193% |
| Keystone Hmo Proactive | $147 - $245 | 193% |
| Magellan | $147 - $495 | 193% |
| Quest Behavioral Health | $147 - $495 | 193% |
| United Behavioral Health | $147 - $495 | 193% |
| Workers Compensation | $147 - $495 | 193% |
| Highmark | $165 | 217% |
| Penn Global Medicine | $208 | 273% |