CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Luke's Nampa Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $152
Cash Discount Price: $190
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Luke's Nampa Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.00x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $190 (250%)

Insurance Median: $152 (200%)

Cash: $190 (250% of Medicare)

Ins. Median: $152 (200% 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
UnitedHealthcare	$77 - $156	101%
Blue Cross Blue Shield	$122 - $193	160%
Commercial [1028]	$122 - $193	160%
Mountain Health Co-Op [1067]	$122 - $124	160%
Pacificsource [1020]	$122 - $142	160%
Select Health [1063]	$122 - $193	160%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$122 - $193	160%
St Lukes Health Plan [1046]	$122 - $193	160%
Aetna	$152 - $171	200%
Cigna	$152	200%
Providence [1022]	$152	200%
Webtpa [1071]	$152 - $162	200%
Geha [1065]	$156	205%
United Medical Resources [1051]	$156	205%
First Health [1064]	$157 - $162	206%
Moda [1055]	$167	219%
Regence [1005]	$174 - $183	228%
Blue Shield Alt [100401]	$183	240%
Regence Out Of State [1004]	$183	240%

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 $190.
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 St Luke's Nampa Medical 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.