CMS Price Transparency Data
Speech therapy (language evaluation)
Facility: HSHS St Clare Memorial Hospital
Billing Code: 92507 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$126
about 1.7× the $76 Medicare rate · typically $79–$284
modeled estimate · not a bill or quote
Medicare pays $76 Fair price $126 Cash price $210 Hospital's list price $318
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $71 - $284 | 93% |
| Blue Cross Blue Shieldmajor | $59 - $331 | 77% |
| Aetnamajor | $71 - $340 | 93% |
| Cignamajor | $185 - $212 | 243% |
| Humanamajor | $71 - $289 | 93% |
| Health Net | $260 | 341% |
| Meridian | $59 | 77% |
| Molina | $63 - $170 | 83% |
| Security Health Plan | $72 - $217 | 95% |
| + 16 smaller / regional plans | $59 - $340 |
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at HSHS St Clare Memorial Hospital
Compare: Speech therapy (language evaluation) at other WI hospitals
- Childrens Hospital of Wisconsin Fox Valley · Neenah $64
- SSM Health St Clare Hospital - Baraboo · Baraboo $65
- SSM Health St Mary's Hospital - Madison · Madison $65
- Childrens Hospital of Wisconsin · Milwaukee $65
- St Josephs Community Hospital West Bend · West Bend $73
- Sauk Prairie Hospital · Prairie Du Sac $73
- Froedtert Memorial Lutheran Hospital · Milwaukee $73
- Froedtert Community Hospital · New Berlin $73
Insurance negotiated median for the same procedure, sorted lowest first.