CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Cass County Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $88
Cash Discount Price: $144
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Cass County Memorial Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.16x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $144 (189%)

Insurance Median: $88 (116%)

Cash: $144 (189% of Medicare)

Ins. Median: $88 (116% 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
Midlands Choice Medica Mcr	$41	54%
Triwest - All Plans	$84	110%
Aetna	$86 - $195	113%
Amerigroup Mcr Adv - All Other Plans	$86	113%
Medica Mcr Adv	$86	113%
Tricare	$86	113%
UnitedHealthcare	$86 - $186	113%
Va Ccn - All Plans	$86	113%
Wellmark Mcr Adv	$87	114%
Iowa Total Care Mcaid	$88	116%
Iowa Total Care Mcr	$88	116%
Molina Mcaid - All Plans	$88	116%
American Hlth Mcr Adv - All Plans	$89	117%
Medicaid / KanCare	$89	117%
Iowa Total Care Comm - All Other Plans	$95	125%
Midlands Choice New Bus	$133	175%
Medica Comm - All Other Plans	$180	236%
Midlands Choice Pho (Ppo) - All Other Plans	$184	242%
Multiplan - All Plans	$195	256%
Wellmark Hmo	$219	288%
Wellmark Ppo - All Other Plans	$241	316%

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 $144.
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 Cass County Memorial 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.