CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baptist Beaumont Hospital

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $164
Cash Discount Price: $100
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baptist Beaumont Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.15x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.

Cash / Self-Pay

$100

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $100 (131%)

Insurance Median: $164 (215%)

Cash: $100 (131% of Medicare)

Ins. Median: $164 (215% 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 215% of the Medicare baseline (a markup of 115%). 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	$73 - $402	96%
Ameri-Plus Ppo-All Plans	$73	96%
Blue Cross Blue Shield	$73 - $174	96%
Cigna	$73 - $112	96%
Superior Health Plan Mcr Adv	$73	96%
Texan Plus-All Plans	$73	96%
Americhoice - All Plans	$77	101%
Amerigroup - All Plans	$77	101%
Community Health Choice - All Plans	$77	101%
Medicaid / KanCare	$77 - $100	101%
Tchp Chips - All Plans	$77	101%
Superior Health Plan Comm - All Other Plans	$84	110%
Texas Exchange Plans - All Plans	$84	110%
Beacon Health - All Plans	$89	117%
Imagine Healthcare (Smartcare) - All Plans	$93	122%
Correctcare - All Plans	$110	144%
Naphcare Inc - All Plans	$110	144%
Texas School Health Benefits - All Plans	$110	144%
Preferred Care Services - All Plans	$124	163%
Humana	$159 - $386	209%
Brookshire Brothers - All Plans	$165	217%
Signature Health - All Plans	$241 - $242	316%
Central Healthcare Services - All Plans	$386	507%
Mhhnp-All Plans	$386	507%
Pponext - All Plans	$502	659%
Multiplan - All Plans	$541	710%
Phcs - All Plans	$541	710%
First Health - All Plans	$580	762%
Healthsmart - All Plans	$580	762%
Managed Healthcare Inc - All Plans	$580	762%
Blue Bell - All Plans	$618	812%

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 $100.
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 Beaumont 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.