Speech therapy (language evaluation)
Facility: University Of Kansas Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $265
- Cash Discount Price: $129
- vs. Medicare Baseline: 3.48x 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 348% of the Medicare baseline (a markup of 248%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $63 - $199 | 83% |
| Ku Athletics [503200094] | $72 | 95% |
| Lasso Healthcare [503999926] | $72 | 95% |
| Medicare (plans) | $72 - $73 | 95% |
| Agency [50311255] | $72 | 95% |
| Aetna | $72 - $100 | 95% |
| Workers Comp [503999901] | $72 - $639 | 95% |
| Devoted [503200068] | $72 | 95% |
| UnitedHealthcare | $72 - $265 | 95% |
| Humana | $72 - $73 | 95% |
| Blue Cross Blue Shield | $74 - $517 | 97% |
| Allwell [503200078] | $74 | 97% |
| American Health Plans [503200968] | $75 | 98% |
| Oscar [503201609] | $86 | 113% |
| Centurion [5032000966] | $93 | 122% |
| Health Plan Inc [503999941] | $101 - $316 | 133% |
| Alt Carelon Behavioral Health [503200905] | $107 - $336 | 141% |
| Accarent Health [503999034] | $107 - $336 | 141% |
| Ambetter / Centene | $122 | 160% |
| Php [503200005] | $128 - $497 | 168% |
| Allied National [503999937] | $128 - $404 | 168% |
| Geha [503200036] | $130 - $408 | 171% |
| Med-Pay [503200040] | $130 - $408 | 171% |
| Inter-Americas Insurance [503999032] | $130 - $408 | 171% |
| Alt Wppa [5032000964] | $130 - $408 | 171% |
| Cerner [503200038] | $130 - $408 | 171% |
| Healthlink [503200007] | $130 - $497 | 171% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 171% |
| Centivo [5032000982] | $136 | 179% |
| Wellfit [503301514] | $136 | 179% |
| 6 Degrees Health [503999050] | $140 - $179 | 184% |
| First Health [5032000110] | $141 - $444 | 185% |
| Aha-Healthcare Preferred [503200050] | $141 - $444 | 185% |
| Coeur Plan Services [503301517] | $150 - $471 | 197% |
| Fort Hays State Student Athletes [5032000960] | $150 | 197% |
| Ascension Living Hope [503201517] | $150 - $471 | 197% |
| Occunet [503999930] | $150 | 197% |
| Consolidated Billing [50311256] | $150 - $471 | 197% |
| Correct Care Solutions [50311253] | $150 - $471 | 197% |
| Orscheln Industries [503201608] | $160 - $505 | 210% |
| Alt Lucent Health Solutions [503202603] | $164 - $517 | 215% |
| Alt Lineco [5032000976] | $164 - $517 | 215% |
| Empire Plan/Nyship [503200705] | $164 - $517 | 215% |
| Cigna | $171 - $538 | 225% |
| Century Health Solutions [503200054] | $171 - $538 | 225% |
| Point Comfort Underwriters [503200018] | $171 - $538 | 225% |
| Quiktrip [5032000412] | $171 - $538 | 225% |
| Meritain Health [503200039] | $180 - $565 | 236% |
| Wppa [503200056] | $180 - $565 | 236% |
| Usa Managed Care [503999030] | $193 - $606 | 253% |
| Multiplan [503200057] | $193 | 253% |
| Claimdoc [503301509] | $193 | 253% |
| Employers Health Network [503999025] | $193 - $606 | 253% |
| Three Rivers Provider Network [503999029] | $193 - $606 | 253% |
| Sanford Health Plan [503999027] | $193 - $606 | 253% |
| Plan Care America [503999026] | $193 - $606 | 253% |
| Advanced Medical Pricing Solutions [503301513] | $215 | 282% |
| Medica [503200074] | $265 | 348% |
| National Assn Letter Carriers [503200019] | $338 | 444% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at University Of Kansas Hospital, the cash price is $129.00, which is lower than the facility's gross charge of $647.00. While the facility's negotiated rates with insurance payers range from $63 to $606, the cash price of $129.00 is notably higher than the state average of $103.00 but remains significantly below the gross charges. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance negotiated rates, which can sometimes exceed the cash amount due to administrative costs and contract structures. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment options can further reduce the final cost.
The facility's Medicare benchmarking rate is $76.15, which serves as a baseline for evaluating pricing fairness. Commercial negotiated rates for this service average $265.00, which is roughly 3.5 times the Medicare rate, reflecting the typical markup found in commercial contracts. Given that over 80% of hospital bills often contain errors, patients should request a detailed, itemized bill to verify that all charges are accurate and that no services were unbundled or duplicated. If a balance bill arises from an out-of-network provider, patients should not pay immediately but instead dispute the amount with their insurer to ensure compliance with federal protections like the No Surprises Act.