CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baptist Memorial Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $437
Cash Discount Price: $173
vs. Medicare Baseline: 5.74x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baptist Memorial Hospital is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 5.74x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$437

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: $173 (227%)

Insurance Median: $437 (574%)

Cash: $173 (227% of Medicare)

Ins. Median: $437 (574% 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 574% of the Medicare baseline (a markup of 474%). 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
Blue Cross Blue Shield	$28 - $494	37%
Aetna	$42 - $214	55%
Oscar	$130	171%
Magnolia Tn	$164	215%
Ppo Holdings	$313	411%
Cooper Realty	$330	433%
Magnolia Regional Health Center	$330	433%
Multiplan	$354 - $618	465%
Littler	$412	541%
Molina	$412	541%
Ppo Plus	$412 - $659	541%
Mpcn	$428	562%
First Choice Health Plan Of Ms	$437	574%
Humana	$445	584%
Novasys	$478	628%
Access Health Services	$494	649%
Butler Snow	$494	649%
UnitedHealthcare	$494	649%
Qca	$618	812%
Christian Health Aid	$659	865%
St. Jude Children'S Hospital	$742	974%

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 $173.
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 Baptist Memorial 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.