CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mississippi Baptist Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $162
Cash Discount Price: $79
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mississippi Baptist Medical Center is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.13x the Medicare baseline. Located in 1225 N State St, Jackson, MS.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $79 (104%)

Insurance Median: $162 (213%)

Cash: $79 (104% of Medicare)

Ins. Median: $162 (213% 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 213% of the Medicare baseline (a markup of 113%). 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	$44 - $158	58%
UnitedHealthcare	$70 - $162	92%
Advanced Health Systems Inc.	$81	106%
Blue Cross Blue Shield	$81	106%
Magnolia Ms	$105	138%
Ppo Holdings	$142	186%
Ppo Plus	$147	193%
Magnolia Regional Health Center	$150	197%
Cigna	$161	211%
Multiplan	$161 - $281	211%
Mpcn	$169	222%
Humana	$181	238%
Littler	$188	247%
Medi Share	$188	247%
Molina	$188	247%
First Choice Health Plan Of Ms	$199	261%
Primewell	$225	295%
Christian Health Aid	$300	394%

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 $79.
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 Mississippi Baptist 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.