Speech therapy (language evaluation)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $80
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.05x 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 |
|---|---|---|
| Missouri Healthnet | $29 | 38% |
| Aetna | $54 - $77 | 71% |
| Blue Cross Blue Shield | $65 - $82 | 85% |
| United Community Of Missouri | $66 | 87% |
| Healthy Blue Missouri | $66 | 87% |
| Home State Health Plan | $66 | 87% |
| Humana | $72 | 95% |
| Healthy Blue Kansas | $72 - $77 | 95% |
| United | $72 - $115 | 95% |
| Ilumed Aco Reach | $72 | 95% |
| Medicaid / KanCare | $72 - $81 | 95% |
| Americas Choice Provider Network | $75 | 98% |
| Usa Managed Care Organization | $81 | 106% |
| Velocity | $81 - $86 | 106% |
| Quiktrip Corporation | $81 | 106% |
| Provider Network Of America | $81 | 106% |
| Multiplan-Phcs | $86 | 113% |
| Prime Health Services | $92 - $125 | 121% |
| Medincrease | $97 | 127% |
| Cigna | $104 | 137% |
| Providrs Care | $115 | 151% |
Consumer Guidance & Cost Commentary
For the speech therapy language evaluation (CPT 92507) at the Rehabilitation Hospital Of Overland Park, the cash price is $108.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $76.15, reflecting a markup of 1.1 times the federal baseline. While commercial insurance plans negotiate rates ranging from $29 to $125 depending on the carrier, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. For patients with high-deductible plans, paying the $108.00 cash rate directly may result in lower out-of-pocket costs compared to insurance claims where the allowed amount could be substantially higher, especially if the patient has not yet met their deductible.
To minimize costs, patients should verify if the facility offers self-pay or prompt-pay discounts, which can reduce the bill by 20% to 50% for upfront payment. It is also important to request a detailed, itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. While this specific service does not have a state or county average provided for direct comparison, understanding that commercial rates often average 200% to 300% of Medicare helps contextualize the $108.00 charge. Consumers are encouraged to contact the billing department directly to confirm the lowest possible rate and ensure no balance billing occurs for in-network services.