CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 92507 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$122
about 1.6× the $76 Medicare rate · typically $66–$371
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $122 Cash price $203 Hospital's list price $396

How we calculate the fair BaseRate →

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✓ Aetna✓ Humana CignaKaiser 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 $170 223%
Blue Cross Blue Shieldmajor $182 - $865 239%
Aetnamajor $376 494%
Humanamajor $337 443%
Amerigroup $121 159%
Dean Health Plan $315 414%
HealthPartners $182 - $350 239%
Quartz $216 284%
Security Health Plan $182 239%
UCare $182 - $317 239%
+ 5 smaller / regional plans $305 - $865
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 402 W Lake St, Friendship, WI 53934
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals