CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Artesia General Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $266
Cash Discount Price: $213
vs. Medicare Baseline: 3.49x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Artesia General Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.49x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $213 (280%)

Insurance Median: $266 (349%)

Cash: $213 (280% of Medicare)

Ins. Median: $266 (349% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 349% of the Medicare baseline (a markup of 249%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$70 - $213	92%
Molina Healthcare Of New Mexico	$71	93%
Presbyterian Health Plan	$71 - $82	93%
UnitedHealthcare	$71 - $302	93%
Humana	$92	121%
Zelis	$97 - $178	127%
First Health	$137 - $320	180%
New Mexico Health Connections	$213	280%
Geha	$248 - $284	326%
Omni Networks	$248	326%
Three Rivers Provider Network	$266	349%
Cigna	$302 - $320	397%
Triwest	$312	410%
Galaxy Health	$320	420%
One Health Plan	$320	420%
Multiplan	$323	424%
United Payors & United Providers	$330	433%
Providence Risk & Insurance Services	$337	443%

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 $213.
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 Artesia General 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.