Speech and Language Evaluation (comprehensive) cost at US hospitals
Evaluation of speech sound production with comprehensive receptive and expressive language assessment · CPT 92523
$44.27
lowest cash price
$384.80
national median
$3,642.00
highest cash price
857
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $44.27–$3,642.00 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($318.30) → Sep 1, 2026 ($806.85)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $546.78 | $606.84 | $845.52 |
| Arizona | 20 | $44.27 | $122.58 | $563.18 |
| Arkansas | 8 | $90.15 | $425.75 | $503.10 |
| California | 65 | $81.90 | $457.08 | $666.40 |
| Colorado | 17 | $173.08 | $376.84 | $2,258.85 |
| Florida | 81 | $147.72 | $769.30 | $3,642.00 |
| Georgia | 25 | $144.16 | $244.14 | $703.16 |
| Hawaii | 2 | $145.92 | $145.92 | $534.00 |
| Illinois | 51 | $95.00 | $457.50 | $797.04 |
| Indiana | 26 | $204.00 | $264.00 | $824.80 |
| Iowa | 30 | $191.94 | $432.00 | $668.00 |
| Kansas | 11 | $162.40 | $740.19 | $1,104.60 |
| Kentucky | 22 | $123.32 | $429.00 | $1,093.85 |
| Louisiana | 6 | $131.30 | $131.30 | $131.30 |
| Maine | 7 | $315.85 | $475.25 | $685.65 |
| Maryland | 2 | $334.80 | $334.80 | $334.80 |
| Michigan | 27 | $215.04 | $341.00 | $949.00 |
| Minnesota | 19 | $192.92 | $337.60 | $496.00 |
| Mississippi | 11 | $110.66 | $148.48 | $204.88 |
| Missouri | 20 | $313.95 | $609.95 | $1,741.88 |
| Montana | 2 | $224.80 | $224.80 | $343.20 |
| Nebraska | 13 | $184.46 | $213.00 | $505.75 |
| Nevada | 4 | $200.56 | $206.44 | $288.01 |
| New Hampshire | 1 | $680.25 | $680.25 | $680.25 |
| New Jersey | 22 | $292.08 | $292.08 | $445.50 |
| New Mexico | 3 | $217.14 | $217.14 | $217.14 |
| New York | 23 | $169.99 | $253.75 | $936.00 |
| North Carolina | 15 | $376.23 | $376.23 | $640.00 |
| North Dakota | 4 | $468.00 | $468.00 | $568.80 |
| Ohio | 63 | $160.00 | $341.40 | $1,482.60 |
| Oklahoma | 17 | $142.36 | $430.30 | $846.64 |
| Oregon | 12 | $232.52 | $277.50 | $1,054.00 |
| Pennsylvania | 32 | $225.00 | $400.80 | $865.20 |
| South Carolina | 11 | $145.00 | $252.50 | $373.50 |
| South Dakota | 7 | $340.80 | $452.00 | $506.40 |
| Tennessee | 38 | $50.96 | $148.26 | $1,293.70 |
| Texas | 120 | $49.17 | $423.40 | $1,567.74 |
| Virginia | 43 | $173.88 | $426.30 | $1,343.52 |
| Washington | 25 | $131.56 | $412.30 | $638.52 |
| West Virginia | 16 | $162.00 | $299.50 | $622.50 |
| Wisconsin | 33 | $258.50 | $340.00 | $569.80 |
| Wyoming | 2 | $229.32 | $229.32 | $261.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Banner Casa Grande Medical Center | Casa Grande, AZ | $44.27 | $81.00 – $614.62 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $49.17 | $110.00 – $485.17 |
| Claiborne Medical Center | Tazewell, TN | $50.96 | $76.00 – $226.93 |
| LeConte Medical Center | Sevierville, TN | $52.78 | $76.00 – $226.93 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $54.05 | $81.00 – $1,049.52 |
| Parkwest Medical Center | Knoxville, TN | $54.60 | $76.00 – $226.93 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $54.60 | $76.00 – $226.93 |
| Ascension Saint Thomas Midtown | Nashville, TN | $58.23 | $158.79 – $421.11 |
| Cumberland Medical Center, Inc. | Crossville, TN | $58.24 | $51.00 – $226.93 |
| Roane County Medical Center | Harriman, TN | $60.06 | $76.00 – $226.93 |
| Fort Loudoun Medical Center | Lenoir City, TN | $60.06 | $76.00 – $226.93 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $60.06 | $76.00 – $226.93 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $60.06 | $76.00 – $226.93 |
| Banner Estrella Medical Center | Phoenix, AZ | $63.25 | $81.00 – $1,049.52 |
| Covenant Hospital Levelland | Levelland, TX | $67.62 | $220.11 – $411.62 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $81.90 | $242.09 – $1,037.40 |
| Banner University Medical Center South | Tucson, AZ | $82.05 | $81.00 – $630.67 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $90.15 | $177.14 – $235.60 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $94.88 | $81.00 – $431.25 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $95.00 | $218.13 – $353.37 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $95.00 | $213.55 – $353.37 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $95.00 | $213.55 – $353.37 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $95.00 | $218.13 – $353.37 |
| Banner Del Webb Medical Center | Sun City West, AZ | $96.03 | $81.00 – $460.00 |
| Banner Boswell Medical Center | Sun City, AZ | $102.35 | $81.00 – $801.38 |
| Banner Thunderbird Medical Center | Glendale, AZ | $108.10 | $72.99 – $431.25 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $108.57 | $223.97 – $549.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $109.76 | $169.00 – $554.03 |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $110.66 | $126.63 – $217.00 |
| Banner Baywood Medical Center | Mesa, AZ | $113.85 | $81.00 – $1,049.52 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $114.19 | $177.14 – $305.97 |
| 62-1138045 BMH Union City | Union City, TN | $115.60 | $126.63 – $126.63 |
| 64-0682111 BMH DeSoto | Southaven, MS | $120.20 | $126.63 – $235.60 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $122.58 | $81.00 – $662.58 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $123.32 | $75.04 – $279.37 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $124.74 | $51.87 – $267.54 |
| 62-0123940 BMH Collierville | Collierville, TN | $126.21 | $126.63 – $235.60 |
| 64-0881013 MBMC Jackson | Jackson, MS | $126.21 | $132.96 – $217.00 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $131.30 | $169.45 – $582.02 |
| Providence Centralia Hospital | Centralia, WA | $131.56 | $233.23 – $460.50 |
| Providence St Peter Hospital | Olympia, WA | $131.56 | $186.58 – $761.50 |
| SIERRA VISTA HOSPITAL, INC. | San Luis Obispo, CA | $133.56 | $242.09 – $1,929.20 |
| Banner Ocotillo Medical Center | Chandler, AZ | $136.28 | $81.00 – $1,049.52 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $136.35 | $100.00 – $818.10 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $136.35 | $100.00 – $818.10 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $136.35 | $100.00 – $945.36 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $138.23 | $126.63 – $159.52 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $138.23 | $126.63 – $217.00 |
| Ascension Saint Thomas River Park | McMinnville, TN | $141.20 | $190.85 – $421.11 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $142.36 | $212.44 – $849.76 |