CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ochsner St Anne General Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $222
Cash Discount Price: $197
vs. Medicare Baseline: 2.92x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ochsner St Anne General Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.92x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$197

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $197 (259%)

Insurance Median: $222 (292%)

Cash: $197 (259% of Medicare)

Ins. Median: $222 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Humana	$33 - $139	43%
UnitedHealthcare	$33 - $329	43%
Aetna	$34 - $222	45%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$34	45%
Healthy Blue (Healthy Louisiana)	$34	45%
Louisiana Healthcare Connections (Healthy Louisiana)	$34	45%
Medicaid / KanCare	$63	83%
Tricare	$124 - $138	163%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$139	183%
Blue Cross Blue Shield	$139 - $419	183%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$139	183%
Medicare (plans)	$139	183%
Ochsner Health Plan	$139	183%
Healthcomp & Personify Health (Formerly Gilsbar)	$335	440%
Louisiana Workers' Compensation Corporation (Lwcc)	$335	440%
Mississippi Physicians Care Network	$335	440%
Employers Health Network (Ehn)	$380	499%
First Health Network	$380	499%
Prime Health Services Ppo	$380	499%
Claritev D/B/A Multiplan/Phcs/American Life Care	$402	528%
Usa Managed Care Network	$402	528%
Zelis	$402	528%
Cigna	$428	562%

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 $197.
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 Ochsner St Anne General 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.