CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Wellspan Ephrata Community Hospital
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$96
about 1.3× the $76 Medicare rate · typically $57–$183
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $96 Cash price $413 Hospital's list price $516
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $487 | 640% |
| Blue Cross Blue Shieldmajor | $8 - $335 | 11% |
| Aetnamajor | $73 - $399 | 96% |
| Cignamajor | $314 - $329 | 412% |
| Geisinger | $335 | 440% |
| UPMC Health Plan | $335 - $413 | 440% |
| + 1 smaller / regional plan | $335 - $353 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Ephrata Community Hospital
Compare: Speech therapy (language evaluation) at other PA hospitals
- UPMC Memorial · York $32
- Temple Health - Chestnut Hill Hospital · Philadelphia $33
- UPMC Altoona · Altoona $33
- UPMC Bedford Memorial · Everett $33
- UPMC Horizon · Greenville $33
- Pottstown Hospital · Pottstown $34
- UPMC Hamot · Erie $35
- UPMC Jameson · New Castle $37
Insurance negotiated median for the same procedure, sorted lowest first.