CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Lost Rivers Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $132
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Lost Rivers Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.73x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $158 (207%)
Insurance Median: $132 (173%)
Cash: $158 (207% of Medicare)
Ins. Median: $132 (173% 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.

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
Select Health Brightpath-All Other Plans $112 147%
Tricare $112 147%
Ihcn Brightpath-All Other Plans $118 155%
Va Pccc-All Plans $121 159%
Blue Cross Blue Shield $125 - $198 164%
Humana $125 - $198 164%
Ihcn Brightpath Mcr Adv $125 164%
Molina Mcr Adv-All Plans $125 164%
Pacificsource Mcr Adv $125 164%
Regence/Brightpth Slhp Mcr $125 164%
Select Health Mcr Adv $125 164%
Prime Hlth Mcr Adv $131 172%
Provider Network Of America-All Plans $132 173%
Aetna $135 - $186 177%
Cigna $184 242%
First Choice-All Plans $184 242%
Pacificsource Navigator-All Other Plans $188 247%
UnitedHealthcare $188 247%
Altius Health Plan-All Plans $192 252%
Regence Blue Shield-All Other Plans $194 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals