CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ouachita County Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $72
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ouachita County Medical Center is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.95x the Medicare baseline. Located in 638 California Avenue, Camden, AR.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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%)

Insurance Median: $72 (95%)

Ins. Median: $72 (95% 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
Self Pay	$21 - $76	28%
UnitedHealthcare	$21 - $76	28%
Arkansas Totalcare	$22 - $49	29%
Medicaid / KanCare	$22	29%
Municipal Health Benefit	$25 - $91	33%
Cigna	$28 - $100	37%
Blue Cross Blue Shield	$29 - $137	38%
Aetna	$32 - $114	42%
Arkansas Firstsource	$38 - $137	50%
Blue Advantage	$38 - $137	50%
Blue Card	$38 - $137	50%
Health Advantage	$38 - $137	50%
Amco	$42 - $152	55%
Mutual Of Omaha	$42 - $152	55%
Qualchoice Exchange	$42 - $152	55%
Qualchoice Of Arkansas	$42 - $152	55%
Usable Life Group Health	$42 - $152	55%
Ambetter / Centene	$68	89%
Medipak	$68	89%
Champva	$72	95%
Humana	$72	95%
Medicare (plans)	$72	95%
Medipak Advantage	$72	95%
Qualchoice Advantage	$72	95%
Tricare	$72	95%
Va Med Center	$72	95%
Wellcare Ahc	$72	95%
Windsor Sterling	$72	95%

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 $X.
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 Ouachita County Medical Center 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.