Speech therapy (language evaluation)
Facility: Greenwood County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $99
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.30x 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 |
|---|---|---|
| Triwest - All Plans | $42 | 55% |
| UnitedHealthcare | $49 - $98 | 64% |
| Tricare | $49 | 64% |
| Choicecare Mcr Adv - All Plans | $49 | 64% |
| Blue Cross Blue Shield | $73 - $77 | 96% |
| Integrated Health Plan - All Plans | $88 | 116% |
| First Health Ccn Network | $99 | 130% |
| First Health - All Other Plans | $99 | 130% |
| Beech Street - All Plans | $99 | 130% |
| Preferred Hs (Coventry) - All Plans | $105 | 138% |
| Principal Health Care Inc - All Plans | $111 | 146% |
| Amerigroup Mcaid-All Plans | $117 | 154% |
| Medicaid / KanCare | $117 | 154% |
| Providrs Care/Wppa - All Plans | $176 | 231% |
Consumer Guidance & Cost Commentary
For this speech therapy evaluation at Greenwood County Hospital, the negotiated rates range from $42 to $176 depending on your insurance plan, with the lowest allowed amount being $42 from Triwest. The facility's cash price of $94 is notably lower than the median negotiated rate of $99 and the cash median of $94, suggesting that paying out-of-pocket might be more cost-effective if your insurance plan has a high deductible or if the negotiated rate exceeds the cash price. While the facility is a Critical Access Hospital in Eureka, Kansas, with a government-local ownership structure, patients should verify their specific plan's allowed amount before scheduling, as in-network rates can vary significantly across different carriers.
To minimize costs, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the administrative overhead of insurance claims. Additionally, since Medicare sets a benchmark rate of $76.15 for this procedure, commercial negotiated rates often exceed this federal baseline due to administrative costs and contract dynamics; however, the cash price aligns closely with the cash median, offering a transparent alternative to the higher negotiated fees. If you receive a bill after using insurance, ensure you request a full itemized statement to check for errors, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.