CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Sanford Bagley Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$117

about 1.5× the $76 Medicare rate · typically $69–$326

modeled estimate · not a bill or quote

Medicare pays $76 Fair price $117 Cash price $306 Hospital's list price $383

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$189 - $320	248%
Blue Cross Blue Shieldmajor	$168 - $336	221%
Aetnamajor	$205 - $333	269%
Cignamajor	$345	453%
Health Net	$345	453%
HealthPartners	$189 - $310	248%
Medica	$337 - $362	443%
Sanford Health Plan	$175 - $356	230%
Security Health Plan	$211	277%
UCare	$188 - $336	247%
+ 2 smaller / regional plans	$193 - $345

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 306), 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 Sanford Bagley 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 Sanford Bagley Medical Center

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

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