CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $228
Cash Discount Price: $261
vs. Medicare Baseline: 2.99x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Baylor Scott & White Medical Center -Taylor is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 2.99x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $261 (343%)

Insurance Median: $228 (299%)

Cash: $261 (343% of Medicare)

Ins. Median: $228 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Baylor Scott & White Health Plan	$87 - $186	114%
UnitedHealthcare	$88	116%
Triwest	$91	120%
American Health Plan	$96	126%
Blue Cross Blue Shield	$96 - $278	126%
Corvel	$96	126%
Healthspring	$96	126%
Prime Health Services	$96	126%
Procare Advantage	$96	126%
Superior Health Plan	$96	126%
Aetna	$105	138%
Careworks Fka Rockport	$113	148%
Injury Management Organization	$113	148%
Sedgwick	$113	148%
Cigna	$170 - $200	223%
Midcoast	$239	314%
Quiktrip	$239	314%
University Of Mary Hardin-Baylor	$252	331%
Independent Medical System	$261	343%
Curative	$282	370%
Humana	$282 - $304	370%
First Health	$304	399%
Healthsmart	$304 - $326	399%
Private Health Care System	$326	428%
Bluebell Creameries	$347	456%
Three Rivers	$347	456%

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 $261.
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 Baylor Scott & White Medical Center -Taylor 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.