CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Frankfort Regional Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $123
Cash Discount Price: $1,017
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Frankfort Regional Medical Center is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.62x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$76.15

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $76.15 (100%)

Cash / Self-Pay: $1,017 (1336%)

Insurance Median: $123 (162%)

Cash: $1,017 (1336% of Medicare)

Ins. Median: $123 (162% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$69 - $281	91%
Aetna	$73	96%
Blue Cross Blue Shield	$73 - $281	96%
Devoted Health	$73	96%
United Behavioral Health	$73	96%
United Va	$73	96%
Wellcare	$73 - $83	96%
United	$74 - $458	97%
Horizon Pace	$75	98%
Molina	$81	106%
Corvel	$163	214%
Prime Health	$163	214%
Coventry Cares	$183	240%
Signature Advantage	$193	253%
Cigna	$299	393%
Essence Healthcare	$458	601%
Baptist Health Network	$549	721%
Hospice Of Central Kentucky	$641	842%
Occupational Mc Alliance	$813	1068%
Multiplan	$966	1269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,017.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 92507.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frankfort Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 92507.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.