CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Lewisgale Hospital Montgomery

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $151
Cash Discount Price: $530
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Lewisgale Hospital Montgomery is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.98x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$530

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $530 (696%)

Insurance Median: $151 (198%)

Cash: $530 (696% of Medicare)

Ins. Median: $151 (198% 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
Triatlantic	$63	83%
Health Net	$67	88%
Humana	$72 - $77	95%
Devoted	$77	101%
Good Samaritan Hospice	$77	101%
Sentara Health	$77	101%
United	$77 - $238	101%
United Mine Workers	$77	101%
Aetna	$78	102%
Virginia Premier Health	$78	102%
Blue Cross Blue Shield	$79	104%
Cigna	$80 - $92	105%
Clear Spring Health Plan	$81	106%
Align Senior Care	$82	108%
Pyramid Life	$82	108%
Lifeworks	$101	133%
Universal Healthcare Group	$117	154%
Virginia Health Network	$186 - $376	244%
Greenvbrier Sporting Club	$318	418%
Corvel	$382	502%
Richfield Nursing Center	$398	523%
Richfield Retirement Community	$398	523%
Multiplan	$408	536%
Community Care Network	$424	557%
Graham-White Manufacturing	$424	557%
Occunet Workers Comp	$424	557%
One Health Plan	$424	557%
Phcs	$450	591%
Patients Choice	$466	612%
4Most	$477	626%
American Postal Workers Union	$477	626%
Star Transportation	$477	626%

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 $530.
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 Lewisgale Hospital Montgomery 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.