CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Ascension Saint Thomas Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $71
Cash Discount Price: $52
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Ascension Saint Thomas Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 0.93x the Medicare baseline. Located in 4220 Harding Rd, Po Box 380, Nashville, TN.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $52 (68%)

Insurance Median: $71 (93%)

Cash: $52 (68% of Medicare)

Ins. Median: $71 (93% 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.

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 - $206	37%
Point Comfort Underwriters	$64	84%
Community Plan	$65 - $67	85%
Amerigroup	$66	87%
Americhoice Mcr Replacement	$67 - $71	88%
Medicare (plans)	$67 - $75	88%
Tricare	$68	89%
Ascension Complete	$71	93%
Centurion Of Tn	$71	93%
Covid Uninsured Test Fund	$71	93%
Healthspring Mcr Replacement	$71	93%
Humana	$71	93%
Nhc Advantage	$71	93%
Triwest Va Pccc	$71	93%
UnitedHealthcare	$71	93%
Aetna	$73	96%
Amerigroup Mcr Replacement	$73	96%
Select Specialty West	$89	117%
Ambetter / Centene	$93	122%
Cigna	$100 - $110	131%
Oscar Health	$100	131%
Oscar Health Plan	$100	131%
Smart Health	$100	131%

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 $52.
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 Ascension Saint Thomas 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.