CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $76
Cash Discount Price: $136
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Penn State Health Lancaster Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.00x the Medicare baseline. Located in 2160 State Road, Lancaster, PA.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $136 (179%)

Insurance Median: $76 (100%)

Cash: $136 (179% of Medicare)

Ins. Median: $76 (100% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
[Amerihealth Caritas]	$63 - $74	83%
[Highmark Wholecare]	$63 - $74	83%
[Geisinger]	$66 - $313	87%
[Health Partners Plans]	$69 - $75	91%
[Pa Health & Wellness]	$69 - $76	91%
[Highmark]	$73 - $224	96%
UnitedHealthcare	$74 - $294	97%
[Cbc]	$74 - $236	97%
Aetna	$75 - $278	98%
Humana	$75	98%
[Healthspring]	$75	98%
[Upmc]	$75 - $346	98%
[Point Comfort Underwriters]	$92	121%
[Highmark Choice Blue]	$180	236%
[Highmark Aca]	$188	247%
Cigna	$288	378%
[First Health]	$375	492%
[Multiplan]	$375	492%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $136.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Penn State Health Lancaster Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.