CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Titus Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $118
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Titus Regional Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.55x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $121 (159%)
Insurance Median: $118 (155%)
Cash: $121 (159% of Medicare)
Ins. Median: $118 (155% 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.

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 $40 - $118 53%
Christus Health Plan $53 70%
Humana $53 - $141 70%
Tricare $53 70%
Triwest $53 70%
UnitedHealthcare $53 - $213 70%
Texas Mutual $54 71%
Curative $58 - $121 76%
Blue Cross Blue Shield $61 - $249 80%
Claritev $81 - $162 106%
Healthcare Highways $81 - $102 106%
Superior $92 - $124 121%
Healthsmart $141 - $190 185%
Cigna $162 - $217 213%
Galaxy Health $192 - $257 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals