Speech evaluation cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 11 hospitals list a cash price for speech and language evaluation: from $178.88 to $649.20, with a median of $383.87. The lowest listed price is at Providence Regional Medical Center Everett — $204.99 less than the median here. Across Washington, the median is $383.87 at 45 hospitals.
- The median here, $383.87, is 13% above the US median of $340.80.
- That is 1.7× Medicare's 2026 national rate for the same service ($226.46).
- 1 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 8 cities for code 92523, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 6, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 14, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Providence Regional Medical Center Everett lowest Everett, WA · (425) 261-2000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM+1 more line at this price File of Apr 1, 2026 · source file | $178.88 | $344.00 | — | 48% |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Eval Speech Sound Lang Comp File of Apr 1, 2026 · source file | $206.50 | $413.00 | — | 50% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $269.76 | $562.00 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $269.76 | $562.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $269.76 | $562.00 | — | 52% |
| Snoqualmie Valley Hospital Snoqualmie, WA · (425) 831-2300 Facility Fee HC EVAL SPEECH SOUND LANG COMP File of Apr 14, 2026 · source file | $383.87 | $661.85 | $249.93–$608.90 | 42% |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC SPCH SOUND LANG COMPREHENSION File of Mar 26, 2026 · source file | $460.00 | $575.00 | $46.00–$517.50 | 20% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC CRISIS TELEH 92523 SPEECH SOUND LANG COMPREHEN CDM+1 more line at this price File of Apr 1, 2026 · source file | $551.04 | $1,148.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM+1 more line at this price File of Apr 1, 2026 · source file | $551.04 | $1,148.00 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM+1 more line at this price File of Apr 1, 2026 · source file | $551.04 | $1,148.00 | — | 52% |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM File of Apr 1, 2026 · source file | $551.04 | $1,148.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $586.08 | $1,221.00 | — | 52% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $586.08 | $1,221.00 | — | 52% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM File of Apr 1, 2026 · source file | $586.08 | $1,221.00 | — | 52% |
| Valley Medical Center Renton, WA · (425) 228-3450 Eval Speech Sound Product Language Comprehension File of Mar 12, 2026 · source file | $600.60 | $858.00 | — | 30% |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 SPEECH SOUND LANG COMPREHEN File of Jan 1, 2026 · source file | $638.52 | $1,252.00 | $751.20–$1,001.60 | 49% |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Eval of Spch Snd/Lang Comprehen Ltd File of Mar 31, 2026 · source file | $649.20 | $649.20 | $135.14–$623.23 | — |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Eval of Spch Snd/Lang Comprehen Stand File of Mar 31, 2026 · source file | $866.40 | $866.40 | $135.14–$831.74 | — |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Spl/H Eval Limited Sl+1 more line at this price File of Mar 31, 2026 · source file | $1,117.30 | $1,117.30 | $135.14–$1,072.61 | — |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Eval of Spch Snd/Lang Comprehen Cplx File of Mar 31, 2026 · source file | $1,603.20 | $1,603.20 | $135.14–$1,539.07 | — |
Outpatient: lowest $178.88, median $383.87, highest $649.20 — a 3.6× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $551.04. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What speech evaluation is, what the price covers and why prices differ: Speech evaluation explained.