CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baptist Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $189
Cash Discount Price: $71
vs. Medicare Baseline: 2.48x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baptist Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.48x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$189

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: $71 (93%)

Insurance Median: $189 (248%)

Cash: $71 (93% of Medicare)

Ins. Median: $189 (248% 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 248% of the Medicare baseline (a markup of 148%). 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
Aetna	$54 - $319	71%
Pensacola	$71	93%
Hospice Covenant	$98	129%
Medicare (plans)	$98	129%
UnitedHealthcare	$99 - $234	130%
Humana	$100 - $216	131%
Healthspring Of Fl Al	$101	133%
Mh Wellcare	$103	135%
Wellcare	$103	135%
Hospice Regency	$142	186%
Fl Blue	$147 - $335	193%
Cha Health Plan	$180	236%
Mh Sunshine Mcaid	$189	248%
Staywell	$189	248%
Sunshine Health	$189	248%
Fl Community Care Ltc	$192	252%
Simply Healthcare Healthy Kids	$207	272%
Cigna	$226 - $475	297%
Hospice Emerald Coast	$238	313%
Bc Fl	$244	320%
Escambia	$285	374%
Private Healthcare	$309	406%
Uwf Athletes	$309	406%
First Health	$330	433%
Wc Corvel	$338 - $451	444%
Choicecare	$356	467%
Mh Choicecare	$356	467%
Multiplan	$423	555%

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 $71.
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 Hospital 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.