CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$117

about 1.5× the $76 Medicare rate · typically $84–$164

modeled estimate · not a bill or quote

What this hospital charges insurers

$128

About the fair price

about $11 over the fair price · 1.7× Medicare

Medicare pays $76 Fair price $117 This hospital $128 Cash price $253 Hospital's list price $389

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $66 Priciest $128

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

A fair price for a Speech therapy (language evaluation) is about $117 (about 1.5× the $76 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $128, or about $253 in cash — about the fair price. Located in Nampa, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$72 - $350	95%
Blue Cross Blue Shieldmajor	$81 - $226	106%
Aetnamajor	$74 - $341	97%
Cignamajor	$300	394%
Humanamajor	$342	449%
Kaiser Permanentemajor	$226	297%
Dean Health Plan	$350	460%
GEHA	$341 - $350	448%
Health Net	$284	373%
HealthPartners	$350	460%
Moda Health	$74 - $331	97%
Molina	$174	228%
PacificSource	$233 - $284	306%
Paramount	$350	460%
Priority Health	$300	394%
SelectHealth	$144 - $350	189%
+ 41 smaller / regional plans	$66 - $350

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 253), 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 Saint Alphonsus Medical Center - Nampa 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Medical Center - Nampa

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

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