CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $306
Cash Discount Price: $342
vs. Medicare Baseline: 4.02x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Southwest Healthcare Rancho Springs Hospital is $306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $342. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.02x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$342

Average discount available for prompt cash payment at this facility.

Insurance Median

$306

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: $342 (449%)

Insurance Median: $306 (402%)

Cash: $342 (449% of Medicare)

Ins. Median: $306 (402% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 402% of the Medicare baseline (a markup of 302%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$30 - $266	39%
Blue Cross Blue Shield	$33 - $565	43%
Health_Net	$39 - $306	51%
United_Healthcare	$54	71%
Iehp	$55	72%
Heritage	$59 - $343	77%
Aetna	$243 - $267	319%
Cigna	$292 - $321	383%
Primecare	$324 - $357	425%
Palomar	$383 - $421	503%
Rady_Children'S_Hospital	$570 - $626	749%
Multiplan	$733 - $806	963%
Sharp_Health_Plan	$733 - $806	963%

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 $342.
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 Southwest Healthcare Rancho Springs Hospital 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.