CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Shannon Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $238
Cash Discount Price: $180
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Shannon Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.13x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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: $180 (236%)

Insurance Median: $238 (313%)

Cash: $180 (236% of Medicare)

Ins. Median: $238 (313% 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 313% of the Medicare baseline (a markup of 213%). 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
City Of San Angelo	$50	66%
Care Improvement	$73	96%
Humana	$73 - $288	96%
Wellmed	$73	96%
Wellpoint	$99	130%
Scott & White	$117 - $150	154%
Insurance Management Services	$119	156%
Insurance Services Of Lubbock	$119	156%
Kempton Group	$146	192%
Pdh/Texas Trust	$146	192%
Ambetter / Centene	$157	206%
Web Tpa	$162	213%
90 Degree Benefits	$183	240%
Caprock	$183	240%
Aetna	$238	313%
Assurant Health	$238	313%
Cigna	$259	340%
Blue Cross Blue Shield	$268 - $282	352%
First Health	$270	355%
UnitedHealthcare	$281	369%
Healthsmart	$320	420%

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 $180.
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 Shannon 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.