CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $301
Cash Discount Price: $312
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at University of Iowa Health Care Medical Center Down is $301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.95x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$301

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: $312 (410%)

Insurance Median: $301 (395%)

Cash: $312 (410% of Medicare)

Ins. Median: $301 (395% 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 395% of the Medicare baseline (a markup of 295%). 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
Aetna	$72 - $225	95%
Blue Cross Blue Shield	$72 - $323	95%
Iowa Total Care	$72 - $78	95%
Medical Associates	$72 - $450	95%
Molina Healthcare	$72 - $78	95%
UnitedHealthcare	$72 - $511	95%
Healthpartners	$73 - $571	96%
Wellpoint (Amerigroup)	$75 - $76	98%
Immergrun	$84 - $168	110%
Aplos Health Plan	$164 - $538	215%
Midlands Choice	$180 - $437	236%
Quad City Community Healthcare	$196 - $504	257%
Oscar Health	$210 - $423	276%
Great River Health Systems	$234 - $470	307%
Sedgwick	$267 - $538	351%
Global Excel	$284 - $571	373%
Sanford Health Plan	$284 - $571	373%
Employee Benefit Systems	$294 - $605	386%
Sisco	$294 - $591	386%
Healthsmart	$301 - $605	395%
Hfn	$307 - $618	403%
Multiplan	$307 - $618	403%

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 $312.
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 University of Iowa Health Care Medical Center Down 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.