CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Lafayette Regional Health Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 92507
Insurance Median: $258
Cash Discount Price: $601
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Lafayette Regional Health Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $601. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 3.39x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$601

Average discount available for prompt cash payment at this facility.

Insurance Median

$258

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: $601 (789%)

Insurance Median: $258 (339%)

Cash: $601 (789% of Medicare)

Ins. Median: $258 (339% 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 339% of the Medicare baseline (a markup of 239%). 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
United	$77 - $270	101%
Healthyblue	$78	102%
Medicaid / KanCare	$79	104%
Aetna	$80 - $526	105%
Amerigroup	$80	105%
Home State Health Plan	$80	105%
Unicare	$80	105%
Ambetter / Centene	$112	147%
Nhc Advantage	$114	150%
Universal Healthcare	$156	205%
Humana	$203 - $258	267%
Blue Cross Blue Shield	$228 - $601	299%
College Park Family Care Center	$258	339%
Oha Network	$300	394%
Oscar	$300	394%
Cigna	$343 - $429	450%
Wppa Providrs Care Network	$450	591%
Multiplan	$468	615%
Coventry	$479	629%
Coventry Kc Mo	$479	629%
Cco, Inc.	$511	671%
Corvel Corporation	$511	671%
Focus Healthcare Mgmt, Inc	$541	710%

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 $601.
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 Lafayette Regional Health 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.