Speech therapy (language evaluation)
Facility: Stevens County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $78
- Cash Discount Price: $90
- vs. Medicare Baseline: 1.02x 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 |
|---|---|---|
| Humana | $33 | 43% |
| Aetna | $34 - $90 | 45% |
| Blue Cross Blue Shield | $74 - $78 | 97% |
| First Health - All Plans | $81 | 106% |
| Wppa - All Plans | $86 | 113% |
| Medicaid / KanCare | $90 | 118% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Stevens County Hospital in Hugoton, Kansas, the cash median price is $90.00, which matches the facility's gross charge. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates paid by insurance payers range from $33 to $90, with a median negotiated amount of $78.00. This means that for patients with high-deductible plans, paying the full cash price of $90.00 upfront could be more cost-effective than relying on insurance, as the insurer's average payment of $78.00 may not cover the full cost if the patient's deductible has not yet been met. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier, with Humana paying the lowest rate at $33.00 and Medicaid/KanCare paying the full $90.00.
To ensure you are receiving fair pricing, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. When reviewing your statement, ask for a detailed breakdown of CPT codes rather than accepting a summary bill that obscures individual charges. Additionally, since the facility offers a median negotiated rate of $78.00, which is 102% of the Medicare benchmark of $76.15, you should confirm whether this rate aligns with fair pricing standards. If you choose to pay out-of-pocket, inquire about prompt-pay discounts that could further reduce the