CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Atrium Health Navicent Peach

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $99
Cash Discount Price: $85
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Atrium Health Navicent Peach is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.30x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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: $85 (112%)

Insurance Median: $99 (130%)

Cash: $85 (112% of Medicare)

Ins. Median: $99 (130% 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
Aetna	$35 - $100	46%
Blue Cross Blue Shield	$35 - $131	46%
Georgia Health Advantage	$35 - $82	46%
Humana	$35 - $144	46%
Pruitt Health	$35 - $86	46%
UnitedHealthcare	$35 - $106	46%
Care Source	$36 - $84	47%
Clover	$36 - $84	47%
Eon Health	$36 - $84	47%
Ambetter / Centene	$51 - $93	67%
Alliant	$83 - $86	109%
Cigna	$99 - $123	130%
Securehealth	$109 - $110	143%
Multiplan	$110 - $135	144%
Novanet	$135	177%
Three Rivers Provider Network	$144	189%
Beechstreet	$157	206%

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 $85.
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 Atrium Health Navicent Peach 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.