CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baptist Memorial Hospital Jonesboro, Inc.

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $153
Cash Discount Price: $73
vs. Medicare Baseline: 2.01x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baptist Memorial Hospital Jonesboro, Inc. is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.01x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $73 (96%)

Insurance Median: $153 (201%)

Cash: $73 (96% of Medicare)

Ins. Median: $153 (201% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 201% of the Medicare baseline (a markup of 101%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Caresource	$22	29%
Summit Community Care	$22	29%
Access Health Services	$23 - $229	30%
Novasys	$63	83%
Humana	$70 - $96	92%
Aetna	$71 - $115	93%
Cigna	$71 - $111	93%
Blue Cross Blue Shield	$79 - $229	104%
Home State Health Plan	$96	126%
UnitedHealthcare	$130	171%
Ppo Holdings	$145	190%
Magnolia Regional Health Center	$153	201%
Multiplan	$164 - $267	215%
Littler	$191	251%
Ppo Plus	$191 - $306	251%
Primewell	$229	301%
First Choice Health Plan Of Ms	$267	351%
Municipal Health Benefit Fund	$267	351%
Mpcn	$286	376%
Healthlink	$306	402%

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 $73.
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 Baptist Memorial Hospital Jonesboro, Inc. 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.