CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ochsner Choctaw General

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $92
Cash Discount Price: $155
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ochsner Choctaw General is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.21x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $155 (204%)

Insurance Median: $92 (121%)

Cash: $155 (204% of Medicare)

Ins. Median: $92 (121% 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
Cigna	$34 - $92	45%
Humana	$57 - $92	75%
Blue Cross Blue Shield	$58 - $711	76%
Medicaid / KanCare	$63 - $70	83%
Claritev D/B/A Multiplan/Phcs/American Life Care	$68 - $153	89%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$70 - $92	92%
Medicare (plans)	$70 - $105	92%
UnitedHealthcare	$70 - $121	92%
Shared Health Mississippi	$74 - $96	97%
Prime Health Services Ppo	$81 - $163	106%
Select Administrative Services Network	$88 - $143	116%
Aetna	$91 - $132	120%
Ambetter / Centene	$93	122%
Primewell Health Services Commercial Exchange Plan	$113 - $136	148%
Primewell Health Services – Commercial	$113 - $136	148%
Zelis	$124 - $153	163%
Prime Health Services Ppo -Workers Comp	$147 - $163	193%
Cor Vel	$149 - $166	196%

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 $155.
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 Ochsner Choctaw General 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.