CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercy Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $292
Cash Discount Price: $117
vs. Medicare Baseline: 3.83x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercy Regional Medical Center is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.83x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$292

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: $117 (154%)

Insurance Median: $292 (383%)

Cash: $117 (154% of Medicare)

Ins. Median: $292 (383% 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 383% of the Medicare baseline (a markup of 283%). 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	$33 - $47	43%
Mcd Hmo Amerigroup	$33 - $47	43%
Mcd Hmo La Care	$33 - $47	43%
Mcd Hmo La Hlth Cr Connct	$33 - $47	43%
Medicaid / KanCare	$33 - $390	43%
UnitedHealthcare	$33 - $48	43%
Mcd Hmo Com Hlth Solution	$36 - $52	47%
Tricare	$57 - $390	75%
Pp0/Manged Care	$89 - $390	117%
Charity/Map	$117 - $390	154%
Blue Cross Blue Shield	$150	197%
Ppo/Manged Care	$195 - $390	256%
American Postal Workers	$312	410%
Work Comp	$351	461%
Commerical	$390	512%
Commerical Ip	$390	512%
Mcr American Hlth Adv	$390	512%
Medicare (plans)	$390	512%
Mra Auto/Liability	$390	512%

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 $117.
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 Mercy 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.