Speech therapy (language evaluation)
Facility: Northern Louisiana Medical Center
Billing Code: 92507 (CPT)
- CPT Billing Code: 92507
- Insurance Median: $482
- Cash Discount Price: $312
- vs. Medicare Baseline: 6.33x 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 633% of the Medicare baseline (a markup of 533%). 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 |
|---|---|---|
| Aetna | $33 - $340 | 43% |
| Medicaid / KanCare | $33 - $567 | 43% |
| Blue Cross Blue Shield | $33 - $156 | 43% |
| UnitedHealthcare | $33 - $341 | 43% |
| Humana | $36 - $89 | 47% |
| Champus | $57 | 75% |
| Champva | $57 | 75% |
| Tricare | $57 - $70 | 75% |
| VA | $71 | 93% |
| Gulf South Services | $71 | 93% |
| Mutual of Omaha | $71 | 93% |
| Veterans Evaluation Svcs | $71 | 93% |
| Medicare (plans) | $71 | 93% |
| Vantage Advantage | $71 | 93% |
| First Health | $112 - $482 | 147% |
| Vantage Health Plan Ppaca | $135 | 177% |
| Vantage Health Plan | $142 | 186% |
| Golden Rule Ins | $212 - $341 | 278% |
| Verity Healthnet | $278 | 365% |
| Cigna | $284 | 373% |
| Kaiser Permanente | $284 | 373% |
| Self Pay | $312 | 410% |
| Gilsbar | $312 | 410% |
| Geha | $454 - $539 | 596% |
| PHCS | $482 | 633% |
| Multiplan | $482 | 633% |
| Workers Compensation | $510 | 670% |
| Work Comp City of Ruston | $510 | 670% |
| Work Comp Nlmc Emp | $510 | 670% |
| Work Comp First Health | $510 | 670% |
| Healthfirst Tpa | $567 | 745% |
| Lin Parish Detention | $567 | 745% |
| Guarantee Trust Life Ins | $567 | 745% |
| Benefit Trust Life | $567 | 745% |
| Ltu Athletics | $567 | 745% |
| Liberty Healthshare | $567 | 745% |
| Gmp Employers Retiree Tru | $567 | 745% |
| Lincoln Kidney Center | $567 | 745% |
| Misc Commercial | $567 | 745% |
| Hospice of Caring Hearts | $567 | 745% |
| Premier Hospice | $567 | 745% |
| Gsu Athletics | $567 | 745% |
| United Teachers Ins | $567 | 745% |
| Aarp | $567 | 745% |
| Ima Insurance | $567 | 745% |
| Specialty Hosp of Winnfie | $567 | 745% |
| Crime Victims Compensatio | $567 | 745% |
| Nalc Natl Assoc Ltr Carri | $567 | 745% |
| United American | $567 | 745% |
| Aflc American Family Life | $567 | 745% |
| Us Dept of Labor | $567 | 745% |
| Mva Insurance Payors | $567 | 745% |
| Newera | $567 | 745% |
| Union Fidelity Life Ins | $567 | 745% |
| Fox Everett Inc | $567 | 745% |
| McR American Hlth Adv | $567 | 745% |
| State Mutual Ins | $567 | 745% |
| Equitable | $567 | 745% |
| Protective Life Ins | $567 | 745% |
| American Life Accident | $567 | 745% |
| Sterling Investors Life | $567 | 745% |
| Principal Mutual Life Ins | $567 | 745% |
| Liberty Mutual Group | $567 | 745% |
| Industrial Accounts | $567 | 745% |
| Nlmc Community Services | $567 | 745% |
| Ruston Regional Specialty | $567 | 745% |
| Union Bankers Insurance C | $567 | 745% |
| Physicians Mutual Ins | $567 | 745% |
| Nalc Health Benefit Plan | $567 | 745% |
| State Farm Insurance | $567 | 745% |
| Bankers Life and Casualty | $567 | 745% |
| The Hartford | $567 | 745% |
| Lifecare Specialty Hosp | $567 | 745% |
| Washington National Ins | $567 | 745% |
| Ltu Student Ins Bollinger | $567 | 745% |
| Apwu Health Plan | $567 | 745% |