Speech therapy (language evaluation)
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Saint Lukes Health Systems | $72 | 95% |
| Va | $72 | 95% |
| Medicare (plans) | $72 - $73 | 95% |
| Vc Hope | $72 | 95% |
| Via Christi Research | $72 | 95% |
| Humana | $72 | 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 (CPT 92507) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates paid by commercial payers range from $69 to $241, with a median negotiated amount of $72.00. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the median negotiated rate of $72.00 matches the statewide benchmark. When compared to the federal Medicare rate of $76.15, the facility's negotiated rates are slightly lower, reflecting a ratio of 0.9 versus Medicare. While some payers like UnitedHealthcare show a wide range up to $200, the majority of plans cluster around the $72 mark, indicating consistent pricing for most in-network members.
Patients should be aware that while in-network insurance typically caps costs at the negotiated rate, cash-pay options may offer savings for those with high-deductible plans or those who have not yet met their deductible limits. The facility does not list a specific cash median, but patients are encouraged to inquire directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. Additionally, since the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, patients can expect to be protected from unexpected charges for emergency services or non-emergency care provided by out-of-network specialists at this acute care hospital.