CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Okeene Municipal Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $192
Cash Discount Price: $225
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Okeene Municipal Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.52x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $225 (295%)

Insurance Median: $192 (252%)

Cash: $225 (295% of Medicare)

Ins. Median: $192 (252% 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 252% of the Medicare baseline (a markup of 152%). 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
Pref Community Choice Ppo-All Plans	$17 - $67	22%
Blue Cross Blue Shield	$64 - $256	84%
Coventry Mcr Adv	$64 - $256	84%
Global Health Mcr Adv	$64 - $256	84%
Humana	$64 - $449	84%
Medicare (plans)	$64 - $256	84%
UnitedHealthcare	$64 - $319	84%
Cigna	$69 - $275	91%
Ihs-All Plans	$73 - $291	96%
Aetna	$78 - $449	102%
Healthchoice Ip Only-All Plans	$78 - $314	102%
Ok Complete Health Comm-All Other Plans	$78 - $312	102%
Global Health-All Other Plans	$83 - $333	109%
Healthcare Highways-All Plans	$84 - $337	110%
Phcs Savility/Multiplan - All Plans	$84 - $337	110%
Medica Commercial-All Other Plans	$86 - $346	113%
Community Care Hmo-All Plans	$101 - $404	133%
Ok Complete Health Mcaid	$112 - $449	147%

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 $225.
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 Okeene Municipal 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.