CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $142
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Intermountain Health St Vincent Regional Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.86x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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%)

Insurance Median: $142 (186%)

Ins. Median: $142 (186% 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
Medicare (plans)	$84	110%
UnitedHealthcare	$85 - $156	112%
First Choice Health	$91 - $152	120%
Other	$91 - $152	120%
Exchange Other	$103 - $112	135%
Mt Health Co-Op	$103 - $112	135%
Ebms-Employee Benefit Mng	$105 - $201	138%
Meritain Health	$105 - $127	138%
Aetna	$108	142%
Allegiance	$116 - $230	152%
Cigna	$116 - $153	152%
Blue Cross Blue Shield	$127 - $228	167%
Preferred One	$146 - $158	192%
Interwest	$153	201%
Pacificsource	$153 - $209	201%
Private Hlthcare Sys	$154	202%
Geha	$156	205%
Sibanye Stillwater Health Partners	$159	209%
Coastal Administrative Services	$167	219%
Pacific Steel And Recycling	$209	274%

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 $X.
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 Intermountain Health St Vincent Regional 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.