CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Tift Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $100
Cash Discount Price: $100
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Tift Regional Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.31x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $100 (131%)

Insurance Median: $100 (131%)

Cash: $100 (131% of Medicare)

Ins. Median: $100 (131% 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
Wellcare	$39 - $72	51%
Amerigroup	$45	59%
Medicaid / KanCare	$45	59%
Peachstate	$47	62%
Caresource	$49	64%
Va Contract	$54	71%
Hospice	$70	92%
Medicare (plans)	$70	92%
Tricare	$70 - $71	92%
Blue Cross Blue Shield	$71 - $199	93%
UnitedHealthcare	$71 - $168	93%
Aetna	$72 - $172	95%
Clover Health	$72	95%
Humana	$75 - $100	98%
Pruitt Health Premier	$77	101%
Peach State Health Plan	$80	105%
Self Pay 50	$100	131%
Health One Alliance	$104	137%
Caresource Marketplace Exchange	$107	141%
Zelis Network Solutions	$121 - $143	159%
Ga Workers Comp	$156	205%
Misc Commercial Insurance Plans	$179	235%
Self Pay	$179	235%
Cigna	$182	239%
Misc Non Contracted Commercial Plans	$199	261%

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 $100.
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 Tift Regional 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.