CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Sky Ridge Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $121
  • Cash Discount Price: $607
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Sky Ridge Medical Center is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.59x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$607

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $607 (797%)
Insurance Median: $121 (159%)
Cash: $607 (797% of Medicare)
Ins. Median: $121 (159% 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.

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 $78 102%
United $78 - $273 102%
Aetna $79 - $321 104%
Blue Cross Blue Shield $79 - $449 104%
Bright Health $79 - $182 104%
Cigna $79 - $389 104%
Devoted Health $79 104%
Mutual Of Omaha $79 104%
Rocky Mountain Health $79 104%
Total Longterm Care $79 104%
Triwest Health Alliance $79 104%
Innovage Pace $80 105%
Kaiser $80 - $216 105%
Wellcare $81 106%
Delaware Life Insurance $83 109%
Vail Health $92 121%
Western Plains Community Health $395 519%
Multiplan $425 - $546 558%
Northcare $425 558%
Physician Health Partners $425 558%
Pinnacol Workers Comp $455 598%
Medical Development International $486 638%
Prime Health $546 717%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals