CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Penn Medicine | Good Shepherd Rehabilitation

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $79
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Penn Medicine | Good Shepherd Rehabilitation is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.04x the Medicare baseline. Located in 1800 Lombard St, Fifth Floor, Philadelphia, PA.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $150 (197%)
Insurance Median: $79 (104%)
Cash: $150 (197% of Medicare)
Ins. Median: $79 (104% 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
Keystone First $35 - $78 46%
PA Health & Wellness $35 - $79 46%
Geisinger Commercial $44 - $94 58%
UnitedHealthcare $49 - $190 64%
Humana $73 - $79 96%
Choice Care $78 102%
Cigna $78 - $151 102%
Clover Health $78 102%
Highmark Wholecare $78 102%
Medicare (plans) $78 102%
Blue Cross Blue Shield $84 - $140 110%
Imagine $136 179%
Highmark Sepa $206 271%
Preferred Health Care $221 290%
Aetna $265 348%
Prime Health $378 496%
Devon Health $432 567%
Multiplan $432 567%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Lombard St, Fifth Floor, Philadelphia, PA 19146
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL