CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Spanish Peaks Regional Health Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $125
Cash Discount Price: $206
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Spanish Peaks Regional Health Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.64x the Medicare baseline. Located in 23500 Us Highway 160, Walsenburg, CO.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$125

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: $206 (271%)

Insurance Median: $125 (164%)

Cash: $206 (271% of Medicare)

Ins. Median: $125 (164% 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	$79 - $119	104%
Kaiser Ppo Mcr	$79 - $242	104%
Medicare (plans)	$79 - $119	104%
UnitedHealthcare	$79 - $225	104%
Devoted Health Mcr - All Plans	$83 - $125	109%
Apostrophe - All Plans	$102 - $218	134%
Blue Cross Blue Shield	$102 - $218	134%
Cofinity - All Plans	$102 - $223	134%
Connect For Health - All Plans	$102 - $225	134%
Friday Hp Chp - All Plans	$102 - $218	134%
Prov Ntwrk Of America - All Plans	$110 - $218	144%
Rmhp - All Plans	$118 - $225	155%
Kaiser Ppo - All Other Plans	$126 - $218	165%
Cigna	$194 - $218	255%
Multiplan Phcs - All Plans	$194 - $230	255%
Beacon Health Op Only-All Plans	$216 - $333	284%

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 $206.
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 Spanish Peaks Regional Health 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.