Evaluation of speech fluency 92521 at Virginia Mason Medical Center

1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$244.80

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$480.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.92 with first choice vs $384.00 with coventry - first health — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
first choice commercial $3.92 ↓ -98%
multiplan medicare advantage $102.21 ↓ -58%
confluence health medicare advantage $116.55 ↓ -52%
regence medicare advantage $124.11 ↓ -49%
united healthcare commercial $141.67 ↓ -42%
kaiser foundation hp medicare $146.01 ↓ -40%
united healthcare medicare advantage $146.01 ↓ -40%
optum care network medicare advantage $146.01 ↓ -40%
premera medicare advantage hmo/ppo $146.01 ↓ -40%
humana choicecare medicare advantage $146.01 ↓ -40%
humana medicare advantage $146.01 ↓ -40%
regence uniform medical plan $146.01 ↓ -40%
regence commercial $146.01 ↓ -40%
signal health medicare advantage $148.11 ↓ -39%
premera commercial $148.11 ↓ -39%
aetna medicare advantage ppo $150.39 ↓ -39%
aetna medicare advantage hmo $153.31 ↓ -37%
kaiser health plan commercial $289.44 ↑ +18%
aetna commercial $302.40 ↑ +24%
cigna commercial $354.43 ↑ +45%
cigna local plus $354.43 ↑ +45%
coventry - first health commercial $384.00 ↑ +57%

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $335.04 $109.79 – $416.94
Swedish Medical Center Cherry Hill Seattle $335.04 $109.79 – $347.54
Providence St Luke's Rehabilitation Medical Center Spokane $242.55 $137.24 – $150.96
Providence St Joseph Hospital Chewelah $123.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $245.00 $137.24 – $349.28
Swedish Issaquah Issaquah $335.04 $109.79 – $304.67
Providence Centralia Hospital Centralia $228.28 $137.24 – $268.77
Providence Mount Carmel Hospital Colville $123.20 not published

All Washington hospitals for this procedure →