CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $255
Cash Discount Price: $1,060
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Southern Hills Hospital and Medical Center is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,060. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.35x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$1,060

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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: $1,060 (1392%)

Insurance Median: $255 (335%)

Cash: $1,060 (1392% of Medicare)

Ins. Median: $255 (335% 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 335% of the Medicare baseline (a markup of 235%). 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
Aetna	$11 - $135	14%
Community Care Health	$70	92%
Molina Healthcare	$70 - $73	92%
Sierra Hpn	$70	92%
Caresource	$73	96%
Ambetter / Centene	$74 - $292	97%
Humana	$74 - $76	97%
Health Net	$75	98%
Alignment Health Plan	$76	100%
Blue Cross Blue Shield	$76	100%
Hometown Health Mcr	$76	100%
Select Health	$76 - $321	100%
Triwest	$76	100%
United	$77 - $303	101%
Caremore	$78	102%
Imperial Nv	$84	110%
Universal Healthcare	$91	120%
Corvel	$117	154%
Olympus Medsave Usa	$123 - $1,043	162%
Prominence Healthfirst	$219 - $417	288%
Cmn Global	$306 - $584	402%
Evernorth	$364 - $696	478%
Hometown Health Providers	$364 - $696	478%
Nv Health & Welfare Trust	$437 - $835	574%
Multiplan	$459 - $1,015	603%
First Health	$481 - $1,113	632%
Medcare International	$547 - $1,043	718%

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 $1,060.
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 Southern Hills Hospital and 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.