CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Bellville Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $119
Cash Discount Price: $318
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Bellville Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.56x the Medicare baseline. Located in 44 N Cummings St, Bellville, TX.

Cash / Self-Pay

$318

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $318 (418%)

Insurance Median: $119 (156%)

Cash: $318 (418% of Medicare)

Ins. Median: $119 (156% 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
Aetna	$59 - $119	77%
Blue Cross Blue Shield	$59 - $186	77%
Community Health	$59 - $119	77%
Molina	$59 - $119	77%
Scott & White	$59 - $120	77%
Superior	$59 - $119	77%
United	$59 - $140	77%
Amerigroup	$119	156%
Multiplan	$119	156%
Tesas Children'S Health Plan	$119	156%
Cigna	$128 - $259	168%
Triwest	$158 - $320	207%
Healthsmart	$168 - $341	221%

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 $318.
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 Bellville Medical Center 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.