CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Unitypoint Health - Meriter

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$77
about 1.0× the $76 Medicare rate · typically $66–$138
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $6 over the fair price · 1.1× Medicare
Medicare pays $76 Fair price $77 This hospital $83 Cash price $516 Hospital's list price $645

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $83

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Speech therapy (language evaluation) is about $77 (about 1.0× the $76 Medicare rate). Unitypoint Health - Meriter charges insurers about $83, or about $516 in cash — about the fair price. Located in Madison, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $73 - $248 96%
Blue Cross Blue Shieldmajor $73 - $613 96%
Cignamajor $74 - $194 97%
Humanamajor $73 - $77 96%
HealthPartners $145 - $235 190%
Meridian $73 - $77 96%
Quartz $201 264%
Security Health Plan $80 - $200 105%
+ 5 smaller / regional plans $61 - $548

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals