CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Olympic Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $151
Cash Discount Price: $124
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Olympic Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.98x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$124

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: $124 (163%)

Insurance Median: $151 (198%)

Cash: $124 (163% 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
Coordinated Care	$81	106%
Molina	$81 - $105	106%
Wellpoint (Formerly Amerigroup)	$85	112%
Regence Uniform	$87	114%
Community Health Plan Of Washington	$89 - $233	117%
UnitedHealthcare	$89 - $155	117%
Ambetter / Centene	$140 - $147	184%
Cigna	$151	198%
Aetna	$155	204%
First Choice Network	$155	204%
Gmr/Caldera Care	$155	204%
Hma	$155	204%
Lifewise	$155	204%
Premera	$155	204%
Regence	$155 - $233	204%
Wellcare	$233	306%

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 $124.
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 Olympic Medical Center 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.