Speech therapy (language evaluation)
Facility: Minneola District Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $180
- Cash Discount Price: $140
- vs. Medicare Baseline: 2.36x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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% |
| Humana | $134 | 176% |
| UnitedHealthcare | $134 - $200 | 176% |
| Va Community Care Program-All Plans | $134 | 176% |
| Providrs Care Network-All Plans | $170 | 223% |
| Corporate Plan Management-All Plans | $170 | 223% |
| Preferred Health Care (Coventry)-All Other Plans | $180 | 236% |
| Triwest-All Plans | $180 | 236% |
| Health Partners Of Kansas-All Plans | $190 | 250% |
| Phc (Coventry) Leased Network | $190 | 250% |
| Aetna | $190 - $200 | 250% |
| Medicaid / KanCare | $200 | 263% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Minneola District Hospital, the negotiated rates range from $78 to $200 depending on your specific insurance plan, with a median negotiated amount of $180. This facility is a Critical Access Hospital in Kansas, and its pricing aligns closely with the state average, as the median negotiated rate of $180 matches the statewide benchmark. While the facility's cash price is $140, which is lower than the typical negotiated rate, patients with high-deductible plans may find that paying out-of-pocket is more cost-effective if their insurance allows the full negotiated amount. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts can result in higher out-of-pocket costs than self-pay options.
To minimize unexpected costs, we recommend requesting a "prompt-pay" discount from the hospital if you choose to pay in full upfront, which can reduce the bill by 20% to 50% by bypassing administrative processing fees. Additionally, since the facility is a government-owned hospital district, you should confirm whether "self-pay" or "cash" rates apply to your situation, as these often differ from standard insurance negotiated rates. If you receive a bill after using insurance, ensure you have an itemized statement that lists every CPT code and charge to identify any errors or unbundled services, as over 80% of hospital bills contain discrepancies. Finally, compare all final amounts to the Medicare rate of $76.15 for this service; commercial rates are often significantly higher due to administrative overhead, so understanding the markup helps you evaluate whether the negotiated price is