Speech therapy (language evaluation)
Facility: Kingman Healthcare Center
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $142
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.86x 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 | $142 | 186% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation (CPT 92507) at Kingman Healthcare Center in Kingman, KS, the facility's negotiated rate is $142.00, which aligns exactly with the lowest and highest reported amounts for this service in the area. This rate is significantly higher than the Medicare benchmark of $76.15, reflecting a markup of 1.9 times the federal baseline. While commercial insurance contracts often result in higher payments due to administrative processing costs, patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the cash rate is not listed but could potentially be lower than the insurance negotiated amount. It is important to note that the facility is a voluntary non-profit Critical Access Hospital, and specific cash or self-pay discounts should be confirmed directly with the billing department before scheduling.
To ensure you are not overcharged, always request a detailed itemized bill that breaks down every CPT code and unit cost rather than accepting a summary invoice that obscures individual charges. If you receive a bill, verify that no services were unbundled or that charges exist for items that were never rendered, as these are common sources of error. Additionally, inquire immediately about prompt-pay discounts, which can reduce your total bill by 20% to 50% if you settle the account in full within a short window, bypassing the administrative fees associated with insurance claims. Finally, be aware that while the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, you should still review your specific plan details to understand your deductible status and any potential out-of-pocket maximums before proceeding with care.