CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Lost Rivers Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$147

about 1.9× the $76 Medicare rate · typically $92–$381

modeled estimate · not a bill or quote

What this hospital charges insurers

$165

About the fair price

about $18 over the fair price · 2.2× Medicare

Medicare pays $76 Fair price $147 This hospital $165 Cash price $158 Hospital's list price $198

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 $165

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 $147 (about 1.9× the $76 Medicare rate). Lost Rivers Medical Center charges insurers about $165, or about $158 in cash — about the fair price. Located in Arco, ID.

What each insurance company pays

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

5 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	$188	247%
Blue Cross Blue Shieldmajor	$125 - $198	164%
Aetnamajor	$135 - $186	177%
Cignamajor	$184	242%
Humanamajor	$125 - $198	164%
Molina	$125	164%
PacificSource	$125 - $188	164%
SelectHealth	$125	164%
+ 5 smaller / regional plans	$121 - $192

Government programs also on file: Military & VA.

Excludes 3 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 158), 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 Lost Rivers 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Lost Rivers Medical Center

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

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