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Procedure price report · Diagnostic physical, occupational, and speech therapy

Evaluation of speech fluency, such as stuttering

CPT 92521the billing code this page is about

A speech evaluation focused on the smoothness and rhythm of speech, including stuttering and similar fluency problems.

Hospitals typically charge $254 cash for this outpatient procedure — the median across 2,853 hospitals that filed a usable cash price; the average of the middle 60% is $268. Most fall between $153 and $422 (20th–80th percentile).

Hospitals
2,853
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,853 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$113$167$254$388$559

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($113 vs $559).

How the prices are spread

$84 – $104: 99 hospitals$84$104 – $129: 147 hospitals$129 – $160: 260 hospitals$129$160 – $199: 336 hospitals$199 – $247: 380 hospitals$199$247 – $306: 358 hospitals$306 – $380: 367 hospitals$306$380 – $471: 331 hospitals$471 – $585: 177 hospitals$471$585 – $726: 114 hospitals$585median $254price bands are equal on a log scale
Hospitals per price band (2,569 of 2,853 — the bands cover the 5th to 95th percentile)
FromToHospitals
$84$10499
$104$129147
$129$160260
$160$199336
$199$247380
$247$306358
$306$380367
$380$471331
$471$585177
$585$726114

By state

The median cash price in each state, against the national median of $254.

Alaska: median $513 across 16 hospitalsAK$513Maine: median $264 across 26 hospitalsME$264Vermont: median $382 across 12 hospitalsVT$382New Hampshire: median $210 across 19 hospitalsNH$210Washington: median $245 across 55 hospitalsWA$245Idaho: median $313 across 21 hospitalsID$313Montana: median $277 across 21 hospitalsMT$277North Dakota: median $378 across 21 hospitalsND$378Minnesota: median $262 across 91 hospitalsMN$262Illinois: median $276 across 114 hospitalsIL$276Wisconsin: median $320 across 94 hospitalsWI$320Michigan: median $242 across 84 hospitalsMI$242New York: median $246 across 83 hospitalsNY$246Massachusetts: median $491 across 41 hospitalsMA$491Oregon: median $278 across 51 hospitalsOR$278Nevada: median $427 across 13 hospitalsNV$427Wyoming: median $258 across 10 hospitalsWY$258South Dakota: median $366 across 21 hospitalsSD$366Iowa: median $243 across 72 hospitalsIA$243Indiana: median $184 across 83 hospitalsIN$184Ohio: median $273 across 137 hospitalsOH$273Pennsylvania: median $319 across 116 hospitalsPA$319New Jersey: median $171 across 44 hospitalsNJ$171Connecticut: median $230 across 14 hospitalsCT$230Rhode Island: median $314 across 10 hospitalsRI$314California: median $353 across 156 hospitalsCA$353Utah: median $423 across 34 hospitalsUT$423Colorado: median $254 across 62 hospitalsCO$254Nebraska: median $270 across 65 hospitalsNE$270Missouri: median $194 across 68 hospitalsMO$194Kentucky: median $232 across 56 hospitalsKY$232West Virginia: median $206 across 28 hospitalsWV$206Virginia: median $259 across 64 hospitalsVA$259Maryland: median $259 across 38 hospitalsMD$259Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $200 across 47 hospitalsAZ$200New Mexico: median $309 across 25 hospitalsNM$309Kansas: median $183 across 72 hospitalsKS$183Arkansas: median $171 across 25 hospitalsAR$171Tennessee: median $129 across 67 hospitalsTN$129North Carolina: median $190 across 84 hospitalsNC$190South Carolina: median $313 across 47 hospitalsSC$313Oklahoma: median $154 across 54 hospitalsOK$154Louisiana: median $145 across 48 hospitalsLA$145Mississippi: median $126 across 52 hospitalsMS$126Alabama: median $194 across 37 hospitalsAL$194Georgia: median $206 across 93 hospitalsGA$206Hawaii: median $353 across 17 hospitalsHI$353Texas: median $314 across 193 hospitalsTX$314Florida: median $348 across 146 hospitalsFL$348
Cash price by state, most expensive first. National median $254. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK16$513+102%$339 – $726
Massachusetts MA41$491+93%$376 – $638
Nevada NV13$427+68%$133 – $643
Utah UT34$423+66%$229 – $528
Vermont VT12$382+50%$261 – $422
North Dakota ND21$378+49%$336 – $440
South Dakota SD21$366+44%$323 – $431
California CA156$353+39%$221 – $551
Hawaii HI17$353+39%$247 – $506
Florida FL146$348+37%$202 – $841
Wisconsin WI94$320+26%$226 – $488
Pennsylvania PA116$319+26%$162 – $463
Texas TX193$314+24%$160 – $440
Rhode Island RI10$314+24%$139 – $532
South Carolina SC47$313+23%$250 – $426
Idaho ID21$313+23%$249 – $330
New Mexico NM25$309+22%$183 – $373
Oregon OR51$278+9%$216 – $404
Montana MT21$277+9%$215 – $409
Illinois IL114$276+9%$162 – $415
Ohio OH137$273+7%$157 – $385
Nebraska NE65$270+6%$184 – $348
Maine ME26$264+4%$128 – $329
Minnesota MN91$262+3%$235 – $391
Maryland MD38$259+2%$198 – $362
Virginia VA64$259+2%$178 – $412
Wyoming WY10$258+2%$182 – $377
Colorado CO62$2540%$150 – $393
New York NY83$246−3%$146 – $485
Washington WA55$245−4%$153 – $388
Iowa IA72$243−4%$176 – $299
Michigan MI84$242−5%$157 – $389
Kentucky KY56$232−9%$184 – $429
Connecticut CT14$230−9%$180 – $603
New Hampshire NH19$210−17%$110 – $652
Georgia GA93$206−19%$140 – $357
West Virginia WV28$206−19%$121 – $380
Arizona AZ47$200−21%$86 – $594
Alabama AL37$194−24%$124 – $271
Missouri MO68$194−24%$121 – $316
North Carolina NC84$190−25%$130 – $319
Indiana IN83$184−28%$135 – $290
Kansas KS72$183−28%$136 – $359
New Jersey NJ44$171−33%$147 – $479
Arkansas AR25$171−33%$64 – $260
Oklahoma OK54$154−39%$76 – $231
Louisiana LA48$145−43%$97 – $228
Tennessee TN67$129−49%$82 – $242
Mississippi MS52$126−50%$79 – $210
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $254.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,059$250$147 – $431
Children’s70$318$170 – $593
Critical access715$262$170 – $391
Ownership
For-profit360$316$158 – $841
Government505$234$143 – $357
Non-profit1,979$254$155 – $414
System affiliation
Part of a system2,328$255$155 – $426
Independent525$247$147 – $400

Cash price vs list price

Median list price (chargemaster)$439
Median cash price$254
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,975 hospitals filed a usable inpatient cash price for this code. The median is $261 and the average of the middle 60% is $274; most fall between $157 and $420.

Cash price percentiles, inpatient, across 1,975 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$110$171$261$391$524

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($110 vs $524).

Of the 2,089 hospitals that filed this code inpatient, 1,975 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 92 a list price only.

How complete is this

2,853 of the 3,956 hospitals with a price file in our corpus (72%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,019 hospitals that filed this code at all gave us
Usable cash price — counted2,853
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded121
Hospitals that filed this code3,019

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic physical, occupational, and speech therapy family.

Hospitals file this code under descriptions such as Hp 92521 Evaluation of Speech Fluency (Stutter Clutter).

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Evaluation of speech fluency, such as stuttering (CPT 92521) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92521-evaluation-of-speech-fluency-such-as-stuttering