Speech therapy (language evaluation)
Facility: Southwest Medical Center
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $163
- Cash Discount Price: $151
- vs. Medicare Baseline: 2.14x 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 214% of the Medicare baseline (a markup of 114%). 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 |
|---|---|---|
| Health_Choice | $109 - $153 | 143% |
| Wppa | $109 - $153 | 143% |
| Aetna | $124 - $175 | 163% |
| Multiplan_Phcs_Primary_Network | $132 - $186 | 173% |
| United_Healthcare_Commercial | $135 - $191 | 177% |
| National_Beef_Packing | $140 - $197 | 184% |
| Omni_Network | $140 - $197 | 184% |
| Multiplan_Phcs_Auto | $140 - $197 | 184% |
| Multiplan_Phcs_Complementary_Network | $145 - $204 | 190% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Southwest Medical Center in Liberal, KS, the facility's cash price of $151.00 is notably lower than the state average of $163.00 and the median negotiated rate of $163.00. While the facility's gross charge is $189.00, commercial insurance plans typically pay between $109 and $204 depending on the carrier, with rates ranging from 1.4x to 2.6x the Medicare benchmark of $76.15. Because commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures, patients with high-deductible plans may find paying the cash price of $151.00 directly more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible is not yet met.
To ensure you receive the most accurate pricing, it is essential to request a prompt-pay discount or self-pay rate directly from the hospital before scheduling your visit, as these upfront discounts can significantly reduce the final bill. If you are billed for services rendered by out-of-network providers at this in-network facility, you may be eligible for protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency care. Furthermore, since over 80% of hospital bills contain errors, you should request a full itemized audit of your statement to identify any unbundled codes, services not rendered, or double-billing before making any payments.