CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: PAM Health Rehabilitation Hospital of El Paso

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $110
  • Cash Discount Price: $299
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at PAM Health Rehabilitation Hospital of El Paso is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.44x the Medicare baseline. Located in 1600 E Cliff Dr, El Paso, TX.
Cash / Self-Pay
$299

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $299 (393%)
Insurance Median: $110 (144%)
Cash: $299 (393% of Medicare)
Ins. Median: $110 (144% 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
Presbyterian Network $30 39%
Turquoise Care $59 77%
Aetna $60 - $76 79%
Blue Cross Blue Shield $60 - $86 79%
El Paso First Health Plan $69 - $86 91%
Cigna $70 - $115 92%
Wellpoint (Amerigroup) $86 - $108 113%
Alignment Health Plan $90 118%
Molina $110 144%
Curative $120 158%
Ninety Degree Benefits $149 196%
Multiplan/Phcs $179 235%
Americas Choice $209 274%
Quik Trip $224 294%
Usa Managed Care Organization $224 294%
Velocity $224 294%
Prime Health Services $254 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 E Cliff Dr, El Paso, TX 79902
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL