Speech therapy (language evaluation)
Facility: Bmh-Calhoun
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $162
- Cash Discount Price: $109
- vs. Medicare Baseline: 2.13x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| PPO Holdings | $79 | 104% |
| Blue Cross Blue Shield | $81 - $93 | 106% |
| Magnolia Regional Health Center | $84 | 110% |
| Tricare | $85 | 112% |
| Vaccn | $90 | 118% |
| Molina | $90 - $166 | 118% |
| Ms Breast and Cervical | $90 | 118% |
| Triwest | $90 | 118% |
| Devoted Health | $92 | 121% |
| Primewell | $94 | 123% |
| Aetna | $94 - $136 | 123% |
| Shared Health | $94 | 123% |
| American Health Plan | $94 | 123% |
| Humana | $94 - $167 | 123% |
| Magnolia Ms | $102 | 134% |
| Littler | $104 | 137% |
| Cigna | $115 | 151% |
| First Choice Health Plan of Ms | $135 | 177% |
| Burch Food Services | $153 | 201% |
| First State Bank Trust | $153 | 201% |
| Gossett Motor Cars | $162 | 213% |
| Mechanical Systems | $162 | 213% |
| Malco Theaters | $162 | 213% |
| Heavy Machines | $162 | 213% |
| Desoto Co Board of Supervisors | $162 | 213% |
| Cannon Motor Company | $162 | 213% |
| Lakeland School System | $162 | 213% |
| Carlisle | $162 | 213% |
| Collierville Schools | $162 | 213% |
| Radians | $162 | 213% |
| Hospitality Management Advisors | $162 | 213% |
| Vaughn Electric | $162 | 213% |
| First Community Bank | $162 | 213% |
| Security One | $162 | 213% |
| Dunn Investment Company | $162 | 213% |
| Davidson Hospitality | $162 | 213% |
| Silver Tree | $162 | 213% |
| W W Wood Products | $162 | 213% |
| French Camp Academy | $162 | 213% |
| Patterson Warehouses | $162 | 213% |
| State Systems | $162 | 213% |
| Retzer Resources | $162 | 213% |
| Armstrong Relocation | $162 | 213% |
| Arlington Community Schools | $162 | 213% |
| Minact | $162 | 213% |
| Crittenden County | $162 | 213% |
| Y K Auto Group | $162 | 213% |
| City of Bartlett | $162 | 213% |
| Bartlett City Schools | $162 | 213% |
| Rei Nation | $162 | 213% |
| Brimhall Foods | $162 | 213% |
| Ashley Furniture Stores | $162 | 213% |
| Heartland Catfish Company | $162 | 213% |
| Jas D Collier | $162 | 213% |
| Mid-South Transport | $162 | 213% |
| Delta Industries | $162 | 213% |
| United Tn Holdings | $162 | 213% |
| Building Plastic | $162 | 213% |
| Eas Mssc Schools | $162 | 213% |
| Town of Collierville | $162 | 213% |
| Hattiesburg Clinic | $162 | 213% |
| Watkins Uiberall | $162 | 213% |
| City of Lakeland | $162 | 213% |
| W G Yates | $162 | 213% |
| Ritchey Automotive | $162 | 213% |
| Hollowell Industries | $162 | 213% |
| Christian Health Aid | $167 | 219% |
| Advanced Health Systems Inc. | $167 | 219% |
| PPO Plus | $178 | 234% |
| Harding Academy | $180 | 236% |
| Employers Health Network | $180 | 236% |
| Multiplan | $188 | 247% |
| Qca | $188 | 247% |