CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: UPMC Kane

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$80
about 1.1× the $76 Medicare rate · typically $45–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $43 under the fair price · 0.5× Medicare
Medicare pays $76 Fair price $80 This hospital $37 Cash price $70 Hospital's list price $116

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $37

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $80 (about 1.1× the $76 Medicare rate). UPMC Kane charges insurers about $37, or about $70 in cash — below the fair price — a good deal. Located in Kane, PA.

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 $25 - $57 33%
Blue Cross Blue Shieldmajor $32 - $396 42%
Aetnamajor $24 - $45 32%
Cignamajor $81 - $2,611 106%
AmeriHealth $34 - $46 45%
Geisinger $30 39%
UPMC Health Plan $24 - $168 32%
+ 5 smaller / regional plans $37 - $110
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals