CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Bellin Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $173
Cash Discount Price: $159
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Bellin Memorial Hospital is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.27x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$159

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $159 (209%)

Insurance Median: $173 (227%)

Cash: $159 (209% of Medicare)

Ins. Median: $173 (227% 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 227% of the Medicare baseline (a markup of 127%). 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	$63 - $74	83%
Blue Cross Blue Shield	$63 - $271	83%
Community Care	$63 - $138	83%
Humana	$63 - $138	83%
My Choice	$63 - $98	83%
Network Health	$63 - $265	83%
Common Ground	$147	193%
Chorus Community Health Plan	$158	207%
Aspirus Arise	$169 - $177	222%
UnitedHealthcare	$171 - $686	225%
Cigna	$173 - $175	227%
Wps Insurance	$179 - $208	235%
Hps/Paymedix	$181 - $196	238%
Trilogy	$186	244%
Healthsmart	$196	257%
Ihs(Claimsbridge)	$196	257%
Medical College Of Wi	$196	257%
Multiplan	$196	257%
Allied National	$208	273%
First Health	$208	273%
Galaxy Health	$208	273%
Three Rivers Provider Network	$220	289%

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 $159.
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 Bellin Memorial 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.