Speech therapy (language evaluation)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $4,484
- Cash Discount Price: $10,508
- vs. Medicare Baseline: 58.88x 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 5888% of the Medicare baseline (a markup of 5788%). 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 |
|---|---|---|
| Medicaid / KanCare | $77 | 101% |
| Blue Cross Blue Shield | $86 - $4,484 | 113% |
| Tricare | $4,318 | 5670% |
| Medadv_Uhc | $4,484 | 5888% |
| Medadv_Allwell | $4,484 | 5888% |
| Humana | $4,484 | 5888% |
| Va_Ccn | $4,484 | 5888% |
| Aetna | $4,484 | 5888% |
| Medicare (plans) | $4,484 | 5888% |
| Ambetter / Centene | $7,062 | 9274% |
| Wppa_Providrscare | $11,629 | 15271% |
| United | $11,657 | 15308% |
| Coventry | $13,310 | 17479% |
| Cigna | $13,310 | 17479% |
| Hpk | $13,310 | 17479% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation service (CPT 92507) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price of $10,508 is significantly lower than the negotiated rates charged by most major payers, which range from $4,484 to $13,310. While the facility is a Critical Access Hospital with government local ownership, the data indicates that paying out-of-pocket directly can be the most cost-effective option for patients, especially those with high-deductible plans where insurance allowed amounts may still exceed the cash price. The median negotiated rate across all payers is $4,484, which is notably lower than the gross charge of $14,011, suggesting that while insurance contracts cap the billed amount, the cash price remains a distinct baseline for self-pay patients.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. It is important to avoid balance billing surprises, as the No Surprises Act generally protects patients from being billed for out-of-network services at in-network facilities, though verifying the status of ancillary services like labs or imaging is still recommended. Since the facility is a Critical Access Hospital, patients should also review their itemized bill for any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute sent to the billing supervisor.