CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 1.2× the $76 Medicare rate · typically $73–$201
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
About the fair price
about $7 under the fair price · 1.1× Medicare
Medicare pays $76 Fair price $93 This hospital $86 Cash price $111 Hospital's list price $318

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $86

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $93 (about 1.2× the $76 Medicare rate). Carilion Stonewall Jackson Hospital charges insurers about $86, or about $111 in cash — about the fair price. Located in Lexington, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $86 - $260 113%
Blue Cross Blue Shieldmajor $82 108%
Aetnamajor $86 - $211 113%
Cignamajor $255 335%
Humanamajor $86 113%
Sentara $84 - $197 110%
+ 9 smaller / regional plans $175 - $302
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals