Speech therapy (language evaluation)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $144
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Direct Benefit-All Plans | $48 | 63% |
| UnitedHealthcare | $58 - $200 | 76% |
| Berkley Net-All Plans | $80 | 105% |
| Trustmark Health Benefits-All Plans | $88 | 116% |
| Aetna | $88 - $136 | 116% |
| Meritain Health-All Plans | $90 | 118% |
| Ambetter / Centene | $96 | 126% |
| Axa Equitable - All Plans | $110 | 144% |
| Pinnacol-All Plans | $112 | 147% |
| Medi-Share-All Plans | $114 | 150% |
| Presbyterian-All Plans | $122 | 160% |
| Kasb Work Comp - All Plans | $128 | 168% |
| The Kempton Group Admin-All Plans | $138 | 181% |
| Gpha(Wppa)-All Other Plans | $140 | 184% |
| Auxiant - All Plans | $140 | 184% |
| Wppa- All Plans | $142 | 186% |
| Sisco-All Plans | $144 | 189% |
| Emc-All Plans | $144 | 189% |
| Providers Care Network- All Plans | $144 | 189% |
| Gpha Employee Benefit Plan | $146 | 192% |
| Employee Benefit-All Plans | $150 | 197% |
| Regional Care(Wppa)-All Plans | $150 | 197% |
| First Health -All Plans | $152 | 200% |
| Triangle-All Plans | $152 | 200% |
| One Call Physician-All Plans | $154 | 202% |
| Blue Cross Blue Shield | $158 | 207% |
| Tricare | $160 | 210% |
| Christian Hospital Aid - All Plans | $160 | 210% |
| Humana | $172 | 226% |
| Cigna | $176 | 231% |
| Luminare Health- All Plans | $176 | 231% |
| Coresource-All Plans | $180 | 236% |
| Deseret Mutual(Uhis)-All Plans | $180 | 236% |
| Vaccn-All Plans | $184 | 242% |
| Reserve National-All Plans | $190 | 250% |
| Hma Llc-All Plans | $190 | 250% |
| Wps Vapc-All Plans | $190 | 250% |
| Medicaid / KanCare | $200 | 263% |
Consumer Guidance & Cost Commentary
For this speech therapy evaluation at Satanta District Hospital in Kansas, the cash price is $180, which is higher than the state average of $144. While commercial insurance plans typically pay negotiated rates ranging from $48 to $200 depending on the carrier, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $180 cash rate directly, as this avoids the higher negotiated fees that insurers charge for processing claims and managing utilization reviews. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in out-of-pocket costs that are significantly higher than the facility's cash price.
To minimize costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if payment is made upfront. Additionally, since the Medicare benchmark for this service is $76.15, the negotiated rates paid by commercial insurers represent a substantial markup compared to the federal baseline. If you receive a bill after using insurance, request a full itemized statement to review every line item for errors or unbundled charges, as over 80% of hospital bills contain discrepancies. Always confirm whether your specific procedure is covered under your deductible before proceeding, as paying the negotiated rate without meeting your deductible balance can result in unexpected financial exposure.