CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Bernard Parish Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $73
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Bernard Parish Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.96x the Medicare baseline. Located in 8000 West Judge Perez Drive, Chalmette, LA.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $81 (106%)
Insurance Median: $73 (96%)
Cash: $81 (106% of Medicare)
Ins. Median: $73 (96% 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.

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 - $172 43%
Amerihealth Caritas Louisiana (Healthy Louisiana) $33 43%
Healthy Blue (Healthy Louisiana) $33 43%
Humana $33 - $73 43%
Louisiana Healthcare Connections (Healthy Louisiana) $33 43%
UnitedHealthcare $33 - $73 43%
Medicaid / KanCare $63 83%
Tricare $71 93%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $73 96%
Blue Cross Blue Shield $73 - $242 96%
Healthy Blue Dual Advantage (Hmo-D-Snp) $73 96%
Medicare (plans) $73 96%
Ochsner Health Plan $73 96%
Wellcare Of Louisiana $73 96%
Zelis $139 183%
Cigna $148 194%
First Health Network $164 215%
Healthcomp & Personify Health (Formerly Gilsbar) $189 248%
Louisiana Workers' Compensation Corporation (Lwcc) $189 248%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8000 West Judge Perez Drive, Chalmette, LA 70043
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals