Speech therapy (language evaluation)
Facility: Menorah Medical Center
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $111
- Cash Discount Price: $452
- vs. Medicare Baseline: 1.46x 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 |
|---|---|---|
| Blue Cross Blue Shield | $59 - $204 | 77% |
| United | $66 - $204 | 87% |
| Home State Health Plan | $69 | 91% |
| Coventry | $72 - $182 | 95% |
| Triwest Health Alliance | $72 | 95% |
| Humana | $73 - $160 | 96% |
| Devoted Health | $73 | 96% |
| Cigna | $74 - $362 | 97% |
| Wellcare | $74 | 97% |
| Celtic | $74 | 97% |
| Amerigroup | $77 | 101% |
| Pyramid Life | $78 | 102% |
| Healthyblue | $78 | 102% |
| Medicaid / KanCare | $79 | 104% |
| Aetna | $80 - $231 | 105% |
| Unicare | $80 | 105% |
| Ambetter / Centene | $84 | 110% |
| Oscar | $86 | 113% |
| Nhc Advantage | $86 | 113% |
| Wppa Providrs Care Network | $90 | 118% |
| Universal Healthcare | $158 | 207% |
| Coventry Kc Mo | $186 | 244% |
| College Park Family Care Center | $195 | 256% |
| Oha Network | $226 | 297% |
| Multiplan | $240 - $362 | 315% |
| Corvel Corporation | $294 | 386% |
| Cco, Inc. | $339 | 445% |
| Focus Healthcare Mgmt, Inc | $339 | 445% |
Consumer Guidance & Cost Commentary
For the speech therapy (language evaluation) service at Menorah Medical Center in Overland Park, KS, the cash price is $452.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 1.5x markup compared to Medicare's benchmark rate of $76.15. While commercial insurance negotiated rates range from $59 to $339 across 28 different payers, patients should be aware that paying cash upfront can sometimes be more cost-effective than relying on insurance, particularly if their plan has a high deductible or if the negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full before or shortly after the service.
When using insurance, the allowed amounts vary widely, with the lowest negotiated rate at $59 and the highest at $339, depending on the specific plan and payer. Patients must verify their deductible status before scheduling, as high negotiated rates may not apply if the deductible has not yet been met. Additionally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, unexpected charges can still occur from out-of-network ancillary services like lab work or emergency physicians. To ensure accuracy, patients should request a detailed, itemized bill that lists every CPT code and charge, allowing them to identify any errors, unbundled services, or services not rendered before making a payment.