Speech therapy (language evaluation)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $72
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Coventry City Of Wichita | $69 | 91% |
| Humana | $72 | 95% |
| Vc Hope | $72 | 95% |
| Saint Lukes Health Systems | $72 | 95% |
| Via Christi Research | $72 | 95% |
| Va | $72 | 95% |
| Medicare (plans) | $72 - $73 | 95% |
| UnitedHealthcare | $73 - $200 | 96% |
| Blue Cross Blue Shield | $73 | 96% |
| Corizon | $89 | 117% |
| Smarthealth | $100 | 131% |
| Medicaid / KanCare | $122 | 160% |
| Aetna | $241 | 316% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Ascension Via Christi Hospitals Wichita, Inc., the negotiated payment rates range from $69 to $241 depending on the insurance carrier. The median negotiated rate across all payers is $72.00, which is significantly lower than the highest negotiated rate of $241.00 seen with Aetna. While the data does not provide a specific cash or self-pay price, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payment.
This service is benchmarked against Medicare, which sets a fixed reimbursement rate of $76.15 for this procedure. The facility's median negotiated rate of $72.00 is slightly below the Medicare benchmark, indicating a competitive pricing structure relative to federal standards. Patients should avoid relying on summary bills that only show broad category totals, as these often obscure individual code costs; instead, requesting a full itemized CPT-coded statement is the most effective way to identify errors or unbundled charges. If a patient receives a bill that exceeds the allowed amount due to out-of-network services, they may be eligible for protections under the No Surprises Act, which bans balance billing for emergency and non-emergency care at in-network facilities.