Speech therapy (language evaluation)
Facility: Morris County Hospital
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $118
- Cash Discount Price: $127
- vs. Medicare Baseline: 1.55x 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 | $74 - $83 | 97% |
| Va Ccn-All Plans | $83 | 109% |
| Coventry Mcr | $83 | 109% |
| Choice Care Mcr Adv-All Plans | $83 | 109% |
| UnitedHealthcare | $83 - $212 | 109% |
| Cigna | $153 | 201% |
| Aetna | $190 | 250% |
| Multiplan-All Plans | $191 | 251% |
| Coventry Comm-All Other Plans | $191 | 251% |
| Providrs Care (Wppa)(Nexus)-All Plans | $318 | 418% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Morris County Hospital in Council Grove, Kansas, the facility's cash median price is $127.00, which is notably higher than the state average of $83.00. While commercial insurance negotiated rates generally range from $74 to $318 depending on the specific plan, the cash price remains the lowest fixed amount a patient can pay upfront. This is particularly relevant for individuals with high-deductible plans, as paying the cash price of $127.00 may be more cost-effective than facing a negotiated rate that could exceed $190 if their deductible has not yet been met. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly even within the same facility.
To minimize costs, consumers should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can bypass the administrative overhead associated with insurance billing cycles. It is also important to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. When evaluating the facility's pricing structure, the Medicare benchmark of $76.15 serves as a reliable baseline; the facility's cash rate of $127.00 represents approximately 1.5 times the Medicare amount, which aligns with typical commercial pricing markups. Finally, under the No Surprises Act, patients are protected from balance billing for emergency care or non-emergency services provided by out-of-network providers at this in-network Critical Access Hospital.