Speech therapy (language evaluation)
Facility: Lincoln County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $78
- Cash Discount Price: $97
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $78 | 102% |
Consumer Guidance & Cost Commentary
For this speech therapy evaluation at Lincoln County Hospital in Lincoln, KS, the cash price is $97.00, which is lower than the negotiated rate of $78.00 paid by Blue Cross Blue Shield. While the facility is a Critical Access Hospital with government ownership, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allows a rate higher than the cash price. It is important to note that the cash price is significantly lower than the gross chargemaster rate of $107.00, and while the data does not provide a specific state or county average for comparison, patients should always verify if their specific insurance plan negotiates a rate that exceeds the cash-pay option to avoid unnecessary out-of-pocket expenses.
To ensure you are not overcharged, request a full itemized bill before paying, as summary invoices can hide unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's full rate and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for out-of-network providers at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce your bill by 20% to 50% if you pay in full upfront, bypassing the administrative costs associated with insurance claims processing. Always dispute any unexpected charges in writing to protect your rights and ensure accuracy in your medical debt.