Speech therapy (language evaluation)
Facility: Stafford County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $140
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Health Partners-All Plans | $133 | 175% |
| Humana | $140 | 184% |
| Va Ccn-All Plans | $140 | 184% |
| Medica Mcr- All Plans | $140 | 184% |
| UnitedHealthcare | $140 | 184% |
Consumer Guidance & Cost Commentary
For this speech therapy evaluation at Stafford County Hospital in Stafford, KS, the facility's cash and negotiated rates are both $140.00, which matches the gross charge and exceeds the Medicare benchmark of $76.15 by 83%. While the facility is a Critical Access Hospital with government local ownership, the data indicates that commercial payers like Humana, UnitedHealthcare, and Health Partners are all billing the full $140.00, suggesting no significant negotiated discounts were applied in this specific dataset. Because the cash price is already at the maximum negotiated rate, patients with high-deductible plans may find paying out-of-pocket directly to the hospital the most cost-effective option, avoiding potential balance billing if they were to use an out-of-network provider or encounter unexpected ancillary services.
To ensure you receive the lowest possible price, it is critical to ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you do receive a bill, always request a full itemized statement that lists every CPT code and unit cost to identify any errors, unbundled charges, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected. Since the facility's rates are already at the highest negotiated level shown, there is no room for further reduction through insurance contracts, making direct inquiry about cash discounts the most effective strategy for minimizing your out-of-pocket expenses.