CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Bingham Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $130
Cash Discount Price: $120
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Bingham Memorial Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.71x the Medicare baseline. Located in 98 Poplar Street, Blackfoot, ID.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $120 (158%)

Insurance Median: $130 (171%)

Cash: $120 (158% of Medicare)

Ins. Median: $130 (171% 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
Ebms-All Plans	$49 - $50	64%
Partners Direct-All Plans	$76 - $78	100%
Altius Hosp Empl	$85 - $86	112%
Blue Cross Blue Shield	$102 - $136	134%
Pacificsource-All Plans	$102 - $104	134%
Altius Nonpar Empl	$118 - $121	155%
Selecthealth-All Plans	$127 - $130	167%
UnitedHealthcare	$127 - $130	167%
Aetna	$152 - $155	200%
Three Rivers-All Plans	$152 - $155	200%
Altius Coventry-All Other Plans	$157 - $161	206%
Bright Path-All Plans	$161 - $164	211%
Deseret Mutual-All Plans	$161 - $164	211%
First Choice Health-All Plans	$161 - $164	211%
Regence Blue Shield-All Plans	$192	252%

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 $120.
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 Bingham 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.