CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $130
Cash Discount Price: $124
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Medical West, An Affiliate of UAB Health System is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.71x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $124 (163%)

Insurance Median: $130 (171%)

Cash: $124 (163% of Medicare)

Ins. Median: $130 (171% 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.

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	$24 - $175	32%
Cigna	$35 - $213	46%
Viva	$72 - $125	95%
Triwest	$73	96%
Phcs	$86 - $175	113%
Beech Street	$89 - $175	117%
One Health Plan	$94 - $162	123%
Geha	$101 - $175	133%
Healthchoice	$101 - $175	133%
Alamed	$113 - $196	148%
Construction Claims Management	$117 - $202	154%
Multiplan	$118 - $205	155%
Corvel	$119 - $225	156%
Novanet	$120 - $209	158%
Humana	$122 - $212	160%
Department Of Labor	$125 - $218	164%
Heritage Summit Health	$125 - $218	164%
Pnoa	$130 - $225	171%
Three Rivers	$130 - $225	171%
UnitedHealthcare	$166	218%

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 $124.
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 Medical West, An Affiliate of UAB Health System 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.