CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Christopher's Hospital for Children

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $127
Cash Discount Price: $230
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Christopher's Hospital for Children is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.67x the Medicare baseline. Located in 160 East Erie Ave, Philadelphia, PA.

Cash / Self-Pay

$230

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $230 (302%)

Insurance Median: $127 (167%)

Cash: $230 (302% of Medicare)

Ins. Median: $127 (167% 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
Geisinger	$26 - $320	34%
Amerihealth Caritas	$27	35%
Pa Health & Wellness	$29	38%
UnitedHealthcare	$33	43%
Aetna	$38 - $533	50%
Upmc	$39	51%
Keystone First	$41	54%
Gateway	$48	63%
Blue Cross Blue Shield	$52 - $386	68%
Horizon Nj Health	$60	79%
Health Partners	$66 - $160	87%
Wellpoint Nj (Formerly Amerigroup)	$78 - $188	102%
Cigna	$175	230%

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 $230.
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 St Christopher's Hospital for Children 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.