Speech therapy (language evaluation)
Facility: Republic County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $146
- Cash Discount Price: $119
- vs. Medicare Baseline: 1.92x 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 |
|---|---|---|
| Rural Carriers-All Plans | $135 | 177% |
| Meritain-All Plans | $143 | 188% |
| Aetna | $143 | 188% |
| UnitedHealthcare | $146 | 192% |
| Cigna | $151 | 198% |
| First Health-All Plans | $151 | 198% |
| Midlands Choice-All Plans | $151 | 198% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Republic County Hospital in Belleville, Kansas, the facility's cash price of $119.00 is notably lower than the state average of $146.00. While the hospital's negotiated rates with major payers like Cigna and First Health-All Plans average $151.00, these amounts exceed the cash price, meaning patients with high-deductible plans or those paying out-of-pocket may save money by choosing the self-pay option. The facility, a voluntary non-profit Critical Access Hospital, lists a cash median of $119.00, which is $37.00 less than the median negotiated rate of $146.00. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as paying the bill in full upfront can often reduce the total cost by 20% to 50% compared to the standard negotiated amount.
When reviewing the final invoice, it is crucial to request an itemized bill that breaks down every CPT code and unit cost, as summary bills often obscure individual charges that could be disputed. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify that all ancillary services were rendered and not cancelled before agreeing to pay. For this specific service, the Medicare benchmark amount is $76.15, which serves as a baseline for evaluating the facility's pricing; the negotiated rate of $146.00 represents approximately 191% of the Medicare amount, which falls within the typical range