Price Checker / CPT 92521
How much does Evaluation Of Speech Fluency cost?
CPT 92521 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$340–$400
What this should cost
With insurance
~$540
Typical out-of-pocket
Overcharged if over
$500
Push back above this
What hospitals charge for Evaluation Of Speech Fluency
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Leahi Hospital , HI | $769 | — | 477% |
| Mt. Washington Pediatric Hospital Baltimore, MD | $684 | — | 413% |
| MedStar Health Physical Therapy at Cockeysville , DC | $290 | — | 169% |
| Harmon Hospital Las Vegas, NV | $350 | — | 163% |
| Unity Psychiatric Care in Clarksville Clarksville, TN | $271 | — | 104% |
| Unity Psychiatric Care in Columbia Columbia, TN | $271 | — | 104% |
| Unity Psychiatric Care in Huntsville Huntsville, AL | $271 | — | 104% |
| Unity Psychiatric Care in Martin Martin, TN | $271 | — | 104% |
| Unity Psychiatric Care in Memphis Memphis, TN | $271 | — | 104% |
| Western Peaks Specialty Hospital Bountiful, UT | $110 | — | -17% |
| Lexington Regional Rehabilitation Hospital Cayce, SC | $325 | — | -25% |
| Midlands Regional Rehabilitation Hospital, LLC Elgin, SC | $325 | — | -32% |
| Bloomington Regional Rehabilitation Hospital, LLC Bloomington, IN | $325 | — | -37% |
| Spartanburg Rehabilitation Institute, Inc. Spartanburg, SC | $358 | — | -41% |
| Utah Valley Specialty Hospital, Inc. Provo, UT | $325 | — | -51% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Evaluation Of Speech Fluency
CPT code 92521 refers to evaluation of speech fluency (billing description: "Evaluation of speech fluency"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $133 in a facility (hospital or surgery center) and $133 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.