Speech therapy (language evaluation)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $323
- Cash Discount Price: $213
- vs. Medicare Baseline: 4.24x 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 424% of the Medicare baseline (a markup of 324%). 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 |
|---|---|---|
| Web Tpa [2115] | $291 | 382% |
| Black Lung [6055] | $291 | 382% |
| Blue Cross Blue Shield | $291 | 382% |
| Lucent Health [6000] | $291 | 382% |
| Oncology Patient Assistance Programs [2295] | $291 | 382% |
| Aetna | $291 | 382% |
| Healthcare Highways [2210] | $291 | 382% |
| Hooray Health [8000] | $291 | 382% |
| Department Of Corrections [1340] | $354 | 465% |
| American Postal Workers Union [1070] | $410 | 538% |
| Cigna | $410 | 538% |
| Healthpartners [1500] | $410 | 538% |
| National Association Of Letter Carriers [1695] | $410 | 538% |
| Humana | $418 | 549% |
| Worker'S Comp [2125] | $496 | 651% |
| Enablecomp [1350] | $496 | 651% |
| First Health [1375] | $551 | 724% |
| Multiplan [1680] | $551 | 724% |
| Administrative Concepts [1005] | $551 | 724% |
| American Healthcare [1055] | $551 | 724% |
| Coventry Healthcare [1320] | $581 | 763% |
| Ks Disability Determination [6090] | $709 | 931% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507), the University of Kansas Health System - St Francis Campus in Topeka, KS, lists a gross charge of $709.00. This amount is significantly higher than the state average, which is 4.2 times the Medicare benchmark rate of $76.15. While the facility's median negotiated rate across 22 payers is $323.00, the cash-pay median is $213.00. For patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to insurance claims, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To ensure you are receiving the most accurate and fair billing, it is critical to request a full itemized bill before paying any invoice. Hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors such as unbundled codes or services not rendered. If you receive a large bill, do not accept a verbal dispute resolution; instead, send a formal written audit dispute to the billing supervisor to correct any inaccuracies. Additionally, ask the hospital about "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if you pay in full upfront, bypassing the costly insurance claims processing cycle.