Speech therapy (language evaluation)
Facility: Cjw Medical Center
Billing Code: 92507 (CPT)
This hospital's typical commercial price is $76 compared to the $113 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.67× fair market pricing.
One of the lower prices — 0 of 8 other VA hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Speech therapy (language evaluation) is about $113 (about 1.5× the $76 Medicare rate). Cjw Medical Center charges insurers about $76, or about $819 in cash — below the fair price — a good deal. Located in Richmond, VA.
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
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 | $76 - $369 | 100% |
| Aetnamajor | $76 | 100% |
| Cignamajor | $79 | 104% |
| Humanamajor | $73 - $76 | 96% |
| Bright Health | $132 | 173% |
| Devoted Health | $76 | 100% |
| Health Net | $72 - $532 | 95% |
| Oscar Health | $139 | 183% |
| Sentara | $76 | 100% |
| + 12 smaller / regional plans | $64 - $737 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Cjw Medical Center
Compare: Speech therapy (language evaluation) at other VA hospitals
- Buchanan General Hospital · Grundy $74
- University of Virginia Medical Center · Charlottesville $76
- Uva Health Culpeper Medical Center · Culpeper $76
- John Randolph Medical Center · Hopewell $76
- Lewisgale Medical Center · Salem $76
- Lewisgale Hospital Montgomery · Blacksburg $76
- Lewisgale Hospital Pulaski · Pulaski $76
- Henrico Doctors' Hospital · Richmond $76
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cjw Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $297
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $297).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Cjw Medical Center's published 45 CFR § 180 self-pay cash rate is $819 (vs. $76 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $113 Fair BaseRate ($76 Medicare)
Your bill ($819) is $706 above the denoised Fair BaseRate ($113) and 10.8× the $76 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.