CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Lewisgale Hospital Pulaski

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $152
Cash Discount Price: $550
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Lewisgale Hospital Pulaski is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.00x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$550

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $550 (722%)

Insurance Median: $152 (200%)

Cash: $550 (722% of Medicare)

Ins. Median: $152 (200% 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
Humana	$56 - $77	74%
Triatlantic	$63	83%
Health Net	$67	88%
Devoted	$77	101%
Good Samaritan Hospice	$77	101%
Magellan	$77	101%
Sentara Health	$77	101%
United	$77 - $248	101%
United Mine Workers	$77	101%
Aetna	$78 - $248	102%
Virginia Premier Health	$78	102%
Blue Cross Blue Shield	$79	104%
Cigna	$80	105%
Evernorth Behavioral Health	$80	105%
Clear Spring Health Plan	$81	106%
Align Senior Care	$82	108%
Pyramid Life	$82	108%
Lifeworks	$104	137%
Universal Healthcare Group	$121	159%
Virginia Health Network	$192 - $390	252%
Greenvbrier Sporting Club	$330	433%
Corvel	$396	520%
Richfield Nursing Center	$412	541%
Richfield Retirement Community	$412	541%
Multiplan	$424	557%
Community Care Network	$440	578%
Graham-White Manufacturing	$440	578%
Occunet Workers Comp	$440	578%
One Health Plan	$440	578%
Patients Choice	$484	636%
4Most	$495	650%
American Postal Workers Union	$495	650%
Phcs	$495	650%
Star Transportation	$495	650%

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 $550.
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 Pulaski 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.