CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $204
Cash Discount Price: $160
vs. Medicare Baseline: 2.68x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Holy Cross Hospital - Salt Lake is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.68x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$204

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: $160 (210%)

Insurance Median: $204 (268%)

Cash: $160 (210% of Medicare)

Ins. Median: $204 (268% 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 268% of the Medicare baseline (a markup of 168%). 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	$67 - $241	88%
Centura Employee Plan	$72	95%
Denver Health	$77	101%
Health Choice	$77	101%
Humana	$77	101%
Medicaid / KanCare	$77	101%
Medicare (plans)	$77	101%
Rocky Mountain Health Plan	$77	101%
Uuhp	$77 - $217	101%
Employer Direct Healthcare	$95	125%
Motivhealth	$100	131%
Cigna	$148 - $321	194%
Molina	$160 - $172	210%
Pehp	$164 - $401	215%
Aetna	$177 - $339	232%
Wise	$209 - $213	274%
Deseret Mutual Benefit Administrators	$246	323%
Select Health	$265	348%
Multiplan	$277 - $365	364%
UnitedHealthcare	$316	415%
Emi Health	$401	527%

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 $160.
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 Holy Cross Hospital - Salt Lake 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.