CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Marshfield Medical Center - Eau Claire

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $190
Cash Discount Price: $190
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Marshfield Medical Center - Eau Claire is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.50x the Medicare baseline. Located in 2310 Craig Rd, Eau Claire, WI.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $190 (250%)

Insurance Median: $190 (250%)

Cash: $190 (250% of Medicare)

Ins. Median: $190 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Family Health Center (Fhc)	$100	131%
Amish/Mennonite	$110	144%
Sanford Health Plan	$110	144%
Security Health Plan (Shp)	$127 - $173	167%
The Alliance	$154 - $186	202%
Group Health Cooperative Of Eau Claire	$164 - $180	215%
UnitedHealthcare	$165	217%
Besse Forest Products	$170	223%
Molina Healthcare Of Wi	$170	223%
Rice Lake School District	$170	223%
Wps Health Insurance	$177 - $193	232%
Medica Of Wi	$186 - $190	244%
Cigna	$190	250%
Corvel	$190	250%
First Health	$190	250%
Health Partners	$190	250%
Healtheos By Multiplan Inc.	$190	250%
Three Rivers Provider Network (Trpn)	$190	250%
Trilogy	$191 - $192	251%
Coventry	$192	252%
Health Smart	$192	252%
Rising Medical Work Comp	$194	255%
Blue Cross Blue Shield	$226 - $264	297%

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 $190.
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 Marshfield Medical Center - Eau Claire 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.