CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Perham Health

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $130
Cash Discount Price: $233
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Perham Health is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.71x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$233

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: $233 (306%)

Insurance Median: $130 (171%)

Cash: $233 (306% 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
Blue Cross Blue Shield	$122 - $336	160%
Health Partners Mcr Adv	$122	160%
Humana	$122	160%
Medica Mcr Adv	$122	160%
Medicare (plans)	$122 - $136	160%
Ucare Mn Senior Health Options	$122	160%
UnitedHealthcare	$126 - $280	165%
Ucare Mn Special Needs Basic Care Dual	$128	168%
Medicaid / KanCare	$129	169%
Ucare Mn Medical Assistance	$129	169%
Ucare Mn Minnesota Care	$129	169%
Ucare Mn Senior Care Plus	$129	169%
Ucare Mn Special Needs Basic Care	$129	169%
Medica Mcaid Mn Care	$131	172%
Medica Mn (Msho)	$148	194%
Ucare Individual And Family Plan-All Other Plans	$149	196%
Medica Mn Senior Hp/Outside Mn	$163	214%
Health Partners Minnesota Care	$180	236%
Medica Commercial-All Other Plans	$263	345%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$269	353%
Health Partners-All Plans	$294	386%
Preferred One (Ppo)	$305	401%
Sanford Health Plan-All Plans	$305	401%

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 $233.
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 Perham Health 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.