Speech therapy (language evaluation)
Facility: Labette Health
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $98
- Cash Discount Price: $95
- vs. Medicare Baseline: 1.29x 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.
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 |
|---|---|---|
| Ambetter / Centene | $34 - $113 | 45% |
| Montgomery County | $45 | 59% |
| Uhccp | $56 | 74% |
| Medicaid / KanCare | $61 - $98 | 80% |
| Blue Cross Blue Shield | $78 - $98 | 102% |
| Wellcare | $98 | 129% |
| UnitedHealthcare | $98 - $118 | 129% |
| Humana | $98 | 129% |
| Multiplan | $115 | 151% |
| Health Partners Of Kansas, Inc | $122 | 160% |
| Choicecare (First Health Network) | $122 | 160% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation (CPT 92507) at Labette Health in Parsons, KS, the facility's cash price of $95.00 is notably lower than the state average of $135.00 and the county average of $122.00. While the facility is a government-owned acute care hospital, patients with high-deductible plans may find the cash rate more affordable than their insurance negotiated rates, which range from $34 to $122 depending on the payer. It is important to note that insurance negotiated rates often include administrative costs and claim processing fees, which can make the out-of-pocket cash price a more economical option for those who have not yet met their deductible or who have plans with high out-of-pocket maximums.
Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, as hospitals often offer significant fee reductions for upfront payments that bypass the costly insurance billing cycle. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all ancillary services, such as lab tests, are covered under the same network agreement to avoid unexpected charges. To ensure accuracy, consumers should demand a full itemized bill listing specific CPT codes rather than accepting a summary invoice, which can sometimes hide unbundled charges or services not rendered. Comparing the facility's cash rate to the Medicare benchmark of $76.15 reveals a markup, but the negotiated rates paid by commercial payers frequently exceed the cash price, reinforcing the value of direct payment for eligible patients.