Speech therapy (language evaluation)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $148
- Cash Discount Price: $51
- vs. Medicare Baseline: 1.94x 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 |
|---|---|---|
| Workers Comp [503999901] | $72 - $295 | 95% |
| Ku Athletics [503200094] | $72 | 95% |
| Humana | $72 | 95% |
| UnitedHealthcare | $72 - $92 | 95% |
| Medicare (plans) | $73 | 96% |
| Blue Cross Blue Shield | $74 | 97% |
| Allwell [503200078] | $74 | 97% |
| Wppa [503200056] | $80 - $146 | 105% |
| Meritain Health [503200039] | $80 - $208 | 105% |
| Alt Wppa [5032000964] | $80 - $146 | 105% |
| Geha [503200036] | $92 | 121% |
| Medica [503200074] | $92 | 121% |
| Centurion [5032000966] | $93 | 122% |
| Alt Carelon Behavioral Health [503200905] | $96 - $174 | 126% |
| Ambetter / Centene | $104 | 137% |
| Aha-Healthcare Preferred [503200050] | $115 - $208 | 151% |
| National Assn Letter Carriers [503200019] | $115 - $208 | 151% |
| Php [503200005] | $115 - $208 | 151% |
| Allied National [503999937] | $115 - $208 | 151% |
| Aetna | $115 - $208 | 151% |
| Alt Meritain Health [503999911] | $115 - $208 | 151% |
| First Health [5032000110] | $115 - $208 | 151% |
| Cigna | $115 - $278 | 151% |
| Hchsync Centrus Health Direct [503999916] | $130 - $150 | 171% |
| Correct Care Solutions [50311253] | $134 - $243 | 176% |
| Occunet [503999930] | $150 | 197% |
| Fort Hays State Student Athletes [5032000960] | $150 | 197% |
| Usa Managed Care [503999030] | $172 - $312 | 226% |
| 6 Degrees Health [503999050] | $179 | 235% |
| Advanced Medical Pricing Solutions [503301513] | $215 | 282% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at the University of KS Health System Great Bend Campus, the facility's cash price of $51.00 is significantly lower than the state average of $148.00 and the Medicare benchmark of $76.15. While many commercial payers have negotiated rates ranging from $72 to $278, the cash rate remains the most affordable option for patients without insurance. This pricing structure suggests that for individuals with high-deductible plans or those seeking self-pay options, paying the cash price directly may result in substantial savings compared to the negotiated rates charged to insurance members.
Patients should verify their specific plan details before scheduling, as some commercial payers may negotiate rates that exceed the cash price due to administrative overhead and contract dynamics. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing standard insurance billing cycles. Additionally, while the No Surprises Act protects against balance billing for emergency care at in-network facilities, patients should request an itemized bill to ensure no unexpected charges are included and to confirm that all services rendered align with the agreed-upon rate.