Speech evaluation cost in Washington
In Washington, 45 hospitals publish a cash price for speech and language evaluation: from $131.56 to $1,017.00, with a median of $383.87. The lowest price is at Providence Centralia Hospital (Centralia) and 1 other hospital. The highest price is 7.7× the lowest.
- 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).
- Washington ranks 33rd of 50 states by median, cheapest first.
- 4 of 45 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 92523. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$131.56Providence Centralia Hospital + 1 more
Median$383.87half of hospitals charge less
Highest$1,017.00in Washington
Lowest saves$252.31vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence Centralia Hospital lowest Centralia · Centralia, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $131.56 | $253.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital lowest Olympia · Olympia-Lacey-Tumwater, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $131.56 | $253.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA SPEECH SOUND LANG COMPREHEN | $137.80 | $212.00 | Mar 20, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $163.68 | $264.00 | May 18, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC CRISIS TELEH 92523 SPEECH SOUND LANG COMPREHEN CDM | $178.88 | $344.00 | Apr 1, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA SPEECH SOUND LANG COMPREHEN | $179.40 | $276.00 | Mar 21, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Eval Speech Sound Lang Comp | $206.50 | $413.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $207.90 | $297.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $207.90 | $297.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC SPEECH SOUND LANG COMPREHEN | $210.65 | $383.00 | Jan 1, 2025 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA SPEECH SOUND LANG COMPREHEN | $253.54 | $633.84 | Jul 10, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $269.76 | $562.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $269.76 | $562.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $269.76 | $562.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $307.70 | $362.00 | Oct 7, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $310.80 | $444.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $328.32 | $608.00 | Aug 31, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $340.80 | $426.00 | Jun 29, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA SPEECH SOUND LANG COMPREHEN | $343.00 | $490.00 | Feb 24, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Eval spch/snd prd w/lang eval | $369.60 | $462.00 | May 15, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Evaluate sound production w/comprehension/expression | $373.60 | $467.00 | Jun 24, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $383.50 | $426.11 | Sep 14, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC EVAL SPEECH SOUND LANG COMP | $383.87 | $661.85 | Apr 14, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $387.80 | $554.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA SPEECH SOUND LANG COMPREHEN | $401.05 | $617.00 | Mar 21, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA SPEECH SOUND LANG COMPREHEN | $403.65 | $621.00 | Mar 20, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $409.50 | $585.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $412.30 | $589.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $421.60 | $496.00 | Jun 9, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA SLP Eval Lang Comprehension,Express Unit | $427.35 | $569.80 | Mar 10, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC EVAL ADULT SPEECH SOUND PROD/LANG COMP & EXPRSSN VV | $438.75 | $675.00 | Apr 1, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $440.69 | $440.69 | May 27, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC SPCH SOUND LANG COMPREHENSION | $460.00 | $575.00 | Mar 26, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $460.00 | $575.00 | Aug 6, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Evaluate sound production w/comprehension/expression | $460.00 | $460.00 | Jan 4, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA SPEECH SOUND LANG COMPREHEN | $474.50 | $730.00 | Mar 21, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC SPCH SOUND LANG COMPREHENSION | $477.60 | $597.00 | Mar 26, 2026 source file |
| Providence St Luke's Rehabilitation Medical Center Spokane · Spokane-Spokane Valley, WA HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM | $503.37 | $719.10 | Apr 1, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Evaluation of speech sound production with evaluation of language comprehension and expression | $514.94 | $514.94 | Sep 1, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM | $551.04 | $1,148.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA EVAL SOUND PROD W/ LANG COMP | $590.85 | $909.00 | Apr 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Eval Speech Sound Product Language Comprehension | $600.60 | $858.00 | Mar 12, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA SPEECH SOUND LANG COMPREHEN | $638.52 | $1,252.00 | Jan 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Eval of Spch Snd/Lang Comprehen Ltd | $649.20 | $649.20 | Mar 31, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC St Speech Sound Lang Comprehen | $1,017.00 | $1,130.00 | Aug 10, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 11 | $178.88 | $383.87 |
| Spokane-Spokane Valley, WA | 5 | $207.90 | $310.80 |
| Kennewick-Richland, WA | 3 | $210.65 | $253.54 |
| Wenatchee-East Wenatchee, WA | 3 | $369.60 | $514.94 |
| Centralia, WA | 2 | $131.56 | $147.62 |
| Moses Lake, WA | 2 | $440.69 | $450.34 |
| Mount Vernon-Anacortes, WA | 2 | $179.40 | $328.50 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $403.65 | $421.20 |
| Pullman, WA | 2 | $340.80 | $381.20 |
| Aberdeen, WA | 1 | $328.32 | $328.32 |
| Bellingham, WA | 1 | $401.05 | $401.05 |
| Davenport, WA | 1 | $383.50 | $383.50 |
| Ellensburg, WA | 1 | $307.70 | $307.70 |
| Friday Harbor, WA | 1 | $137.80 | $137.80 |
| Longview-Kelso, WA | 1 | $474.50 | $474.50 |
| Olympia-Lacey-Tumwater, WA | 1 | $131.56 | $131.56 |
| Port Angeles, WA | 1 | $373.60 | $373.60 |
| Port Townsend, WA | 1 | $460.00 | $460.00 |
| South Bend, WA | 1 | $343.00 | $343.00 |
| Shelton, WA | 1 | $427.35 | $427.35 |
| Walla Walla, WA | 1 | $387.80 | $387.80 |
| Yakima, WA | 1 | $590.85 | $590.85 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What speech evaluation is, what the price covers and why prices differ: Speech evaluation explained.
Speech and language evaluation in other states
- Alabama$443.00
- Alaska$650.25
- Arizona$880.00
- Arkansas$172.45
- California$457.08
- Colorado$466.92
- Connecticut$682.00
- Delaware$444.38
- District of Columbia$376.14
- Florida$586.95
- Georgia$244.14
- Hawaii$312.20
- Idaho$425.84
- Illinois$346.85
- Indiana$204.33
- Iowa$307.36
- Kansas$235.30
- Kentucky$276.29
- Louisiana$191.59
- Maine$323.03
- Maryland$624.66
- Massachusetts$585.50
- Michigan$377.00
- Minnesota$323.58
- Mississippi$187.91
- Missouri$256.80
- Montana$363.13
- Nebraska$325.50
- Nevada$228.05
- New Hampshire$351.54
- New Jersey$292.08
- New Mexico$324.00
- New York$392.60
- North Carolina$318.00
- North Dakota$572.00
- Ohio$340.80
- Oklahoma$186.55
- Oregon$351.98
- Pennsylvania$533.35
- Puerto Rico$400.00, 1 hospital
- Rhode Island$200.00, 4 hospitals
- South Carolina$314.60
- South Dakota$423.20
- Tennessee$185.85
- Texas$380.08
- Utah$578.31
- Vermont$383.87
- Virginia$328.50
- West Virginia$278.50
- Wisconsin$355.00
- Wyoming$477.00
Median cash price across the state's hospitals.