CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Saint Mary's Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $111
Cash Discount Price: $76
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Saint Mary's Regional Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.46x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $76 (100%)

Insurance Median: $111 (146%)

Cash: $76 (100% of Medicare)

Ins. Median: $111 (146% 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
Access To Healthcare Network	$25	33%
Blue Cross Blue Shield	$70 - $76	92%
Health Plan Of Nevada	$70 - $76	92%
Medicaid / KanCare	$70	92%
Silver Summit	$70 - $133	92%
Molina Healthcare Of Nv	$72 - $76	95%
Aetna	$76 - $143	100%
Medicare (plans)	$76	100%
Saint Mary Health Plan	$76 - $88	100%
Sierra	$76	100%
Tricare	$76	100%
Triwest	$76	100%
Alignment	$78	102%
UnitedHealthcare	$78 - $307	102%
Occunet	$87 - $152	114%
Pam	$88	116%
Veterans Evaluation Service Ves	$95	125%
Employer Direct	$107	141%
Home Town Test	$107	141%
Naphcare	$107	141%
6 Degrees	$111 - $152	146%
Asserta Health	$111 - $114	146%
Custom Ink	$111 - $165	146%
Imperial Insurance Company	$111 - $141	146%
Nevada Health Partners	$111 - $141	146%
Nv Preferred	$111 - $173	146%

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 $76.
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 Saint Mary's Regional Medical Center 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.