CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: St Lukes Hospital of Kansas City

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $380
Cash Discount Price: $645
vs. Medicare Baseline: 4.99x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at St Lukes Hospital of Kansas City is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 4.99x the Medicare baseline. Located in 4401 Wornall Road, Kansas City, MO.

Cash / Self-Pay

$645

Average discount available for prompt cash payment at this facility.

Insurance Median

$380

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: $645 (847%)

Insurance Median: $380 (499%)

Cash: $645 (847% of Medicare)

Ins. Median: $380 (499% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 499% of the Medicare baseline (a markup of 399%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$47 - $1,424	62%
Transplants-Case Rates [5750]	$66 - $1,499	87%
Medicaid / KanCare	$71 - $96	93%
Blue Cross Blue Shield	$78 - $917	102%
UnitedHealthcare	$90 - $380	118%
Cigna	$106 - $1,049	139%
Humana	$131 - $480	172%
Commercial-Contracted [8000]	$135 - $1,199	177%
First Health [5512]	$242 - $889	318%

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 $645.
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 St Lukes Hospital of Kansas City 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.