CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: Sanford Hillsboro
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$129
about 1.7× the $76 Medicare rate · typically $84–$274
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $129 Cash price $272 Hospital's list price $340
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $168 - $284 | 221% |
| Blue Cross Blue Shieldmajor | $168 - $336 | 221% |
| Aetnamajor | $168 - $295 | 221% |
| Health Net | $306 | 402% |
| HealthPartners | $168 - $265 | 221% |
| Medica | $280 - $300 | 368% |
| Sanford Health Plan | $155 - $316 | 204% |
| Security Health Plan | $187 | 246% |
| UCare | $167 - $299 | 219% |
| + 2 smaller / regional plans | $171 - $306 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sanford Hillsboro
Compare: Speech therapy (language evaluation) at other ND hospitals
- Essentia Health · Fargo $75
- Trinity Hospitals · Minot $76
- Sanford Medical Center Fargo · Fargo $77
- Sanford Medical Center Bismarck · Bismarck $77
- PAM Rehabilitation Hospital of Fargo · Fargo $80
- Altru Hospital · Grand Forks $87
- CHI St Alexius Health Turtle Lake · Turtle Lake $172
- Garrison Memorial Hospital · Garrison $197
Insurance negotiated median for the same procedure, sorted lowest first.