CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baptist Memorial Hospital Union City

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $445
Cash Discount Price: $151
vs. Medicare Baseline: 5.84x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baptist Memorial Hospital Union City is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 5.84x the Medicare baseline. Located in 1201 Bishop St, Po Box 310, Union City, TN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $151 (198%)

Insurance Median: $445 (584%)

Cash: $151 (198% of Medicare)

Ins. Median: $445 (584% 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 584% of the Medicare baseline (a markup of 484%). 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	$42 - $474	55%
Oscar	$117	154%
Cigna	$148 - $204	194%
Magnolia Tn	$158	207%
Blue Cross Blue Shield	$288 - $454	378%
Ppo Holdings	$288	378%
Magnolia Regional Health Center	$303	398%
Littler	$378	496%
UnitedHealthcare	$437	574%
Humana	$500	657%
First Choice Health Plan Of Ms	$530	696%
Mpcn	$568	746%
Multiplan	$568	746%
Novasys	$568	746%
Ppo Plus	$643	844%
Qca	$681	894%

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 $151.
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 Union City 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.