CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Arbor Health Morton Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $130
Cash Discount Price: $174
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Arbor Health Morton Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.71x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $174 (228%)

Insurance Median: $130 (171%)

Cash: $174 (228% of Medicare)

Ins. Median: $130 (171% 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
Comm Health Healthy Options	$120	158%
Kaiser Mcaid	$120	158%
UnitedHealthcare	$120 - $224	158%
Amerigroup-All Other Plans	$128	168%
Aetna	$129 - $246	169%
Amerigroup Mcr Adv	$129	169%
Comm Health Mcr Adv	$129	169%
Healthnet Mcr Adv - All Plans	$129	169%
Humana	$129	169%
Mcr Railroad Mcr Adv - All Plans	$129	169%
Medicare (plans)	$129	169%
Premera Hmo Mcr Adv	$129	169%
Rural Health Mcare - All Plans	$129	169%
Regence Blue Shield Mcr Adv	$130	171%
Molina Mcr Adv	$135	177%
Wellcare Mcr Adv - All Plans	$135	177%
Molina Marketplace-All Other Plans	$165	217%
Regence Blue Shield Ump-All Other Plans	$196	257%
Kaiser Comm-All Other Plans	$220	289%
Molina Mcaid	$232	305%
Comm Health Basic Sub - All Other Plans	$238	313%
Comm Health Pebb	$238	313%
Premera First-All Other Plans	$252	331%
Cigna	$260	341%
First Choice-All Plans	$260	341%

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 $174.
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 Arbor Health Morton 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.