CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercyone North Iowa Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$101

about 1.3× the $76 Medicare rate · typically $74–$101

modeled estimate · not a bill or quote

What this hospital charges insurers

$97

About the fair price

about $4 under the fair price · 1.3× Medicare

Medicare pays $76 Fair price $101 This hospital $97 Cash price $216 Hospital's list price $333

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $97

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Speech therapy (language evaluation) is about $101 (about 1.3× the $76 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $97, or about $216 in cash — about the fair price. Located in Mason City, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$74 - $350	97%
Blue Cross Blue Shieldmajor	$73	96%
Aetnamajor	$72 - $175	95%
Cignamajor	$233	306%
Ambetter (Centene)	$124	163%
GEHA	$350	460%
HealthPartners	$223	293%
Medica	$233	306%
Medical Mutual	$175	230%
Oscar Health	$97	127%
+ 20 smaller / regional plans	$78 - $333

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 216), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 92507.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone North Iowa Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 92507.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Mercyone North Iowa Medical Center

Compare: Speech therapy (language evaluation) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.