Speech therapy (language evaluation)
Facility: Cheyenne County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $97
- Cash Discount Price: $102
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| First Health - All Plans | $71 | 93% |
| Aetna | $73 - $97 | 96% |
| UnitedHealthcare | $73 - $180 | 96% |
| Tricare | $73 | 96% |
| Healthy Blue Mcr Adv | $73 | 96% |
| Choice Care - All Plans | $74 | 97% |
| Blue Cross Blue Shield | $77 | 101% |
| Firstguard - All Plans | $81 | 106% |
| Wppa - All Plans | $91 | 120% |
| Preferred Hc - All Plans | $97 | 127% |
| Cpm - All Plans | $97 | 127% |
| Midlands Choice - All Plans | $99 | 130% |
| Ppo Next - All Plans | $100 | 131% |
| Integrated Hp - All Plans | $100 | 131% |
| Unicare - All Plans | $100 | 131% |
| Health Partners - All Plans | $100 | 131% |
| Healthwave Mcaid - All Plans | $102 | 134% |
| Healthy Blue Mcaid - All Other Plans | $102 | 134% |
| Childrens Mercy - All Plans | $102 | 134% |
| Providers Care-All Plans | $152 | 200% |
Consumer Guidance & Cost Commentary
For the speech therapy evaluation service (CPT 92507) at Cheyenne County Hospital, the cash price is $102.00, which matches the facility's negotiated median rate of $97.00 and the cash median. This cash price is significantly higher than the Medicare benchmark of $76.15, reflecting a markup of 134% above the federal baseline. While the facility is a Critical Access Hospital in St. Francis, KS, the data does not provide specific county or state average rates for this procedure, so a direct comparison to regional pricing is not possible. However, the cash price remains the lowest available option among the 20 payers listed, with negotiated rates ranging from $71 to $152 depending on the insurance plan.
Patients with high-deductible plans may find paying the full cash price of $102.00 more cost-effective than using insurance, as several commercial payers have negotiated rates exceeding this amount, such as UnitedHealthcare (up to $180) and Providers Care (at $152). To potentially lower costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. It is also important to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors, and ensuring the claim is classified as self-pay can prevent the facility from submitting a claim to insurance that would void any cash discount.