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 |
|---|---|---|---|
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $406.20 | $218.13 – $405.72 |
| OSF Saint Anthony Medical Center | Rockford, IL | $406.20 | $206.92 – $763.46 |
| OSF Saint Anthony's Health Center | Alton, IL | $406.20 | $218.13 – $222.49 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $406.20 | $218.13 – $222.49 |
| OSF Saint Francis Medical Center | Peoria, IL | $406.20 | $206.92 – $464.62 |
| OSF St Joseph Medical Center | Bloomington, IL | $406.20 | $218.13 – $222.49 |
| OSF St Mary Medical Center | Galesburg, IL | $406.20 | $218.13 – $222.49 |
| OSF Healthcare Divine Mercy Continuing Care Hospital | Peoria, IL | $406.20 | not published |
| Tiffin Hospital | Tiffin, OH | $408.00 | not published |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $408.00 | not published |
| Emory Decatur Hospital | Decatur, GA | $408.00 | $128.00 – $512.05 |
| Emory Hillandale Hospital | Lithonia, GA | $408.00 | $128.00 – $512.05 |
| Emory Johns Creek Hospital | Johns Creek, GA | $408.00 | $128.00 – $512.05 |
| Emory Rehabilitation Hospital | Atlanta, GA | $408.00 | $128.00 – $512.05 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $408.00 | $128.00 – $512.05 |
| Emory University Hospital | Ne, GA | $408.00 | $128.00 – $512.05 |
| Emory University Hospital Midtown | Atlanta, GA | $408.00 | $128.00 – $512.05 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $408.24 | $282.66 – $567.00 |
| Kadlec Regional Medical Center | Richland, WA | $409.50 | $233.23 – $431.48 |
| Lourdes Hospital | Paducah, KY | $410.40 | not published |
| Mercy Hospital Berryville | Berryville, AR | $410.80 | $196.99 – $603.61 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $412.30 | $233.23 – $593.57 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $412.80 | $50.00 – $378.46 |
| Urbana Hospital | Urbana, OH | $414.00 | not published |
| Mercy Hospital Carthage | Carthage, MO | $416.00 | $182.72 – $303.36 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $416.85 | $249.33 – $461.26 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $416.85 | $249.33 – $461.26 |
| Providence Saint Joseph Medical Center | Burbank, CA | $419.65 | $249.33 – $461.26 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $421.20 | $190.00 – $547.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $423.40 | $112.00 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $423.40 | $112.00 – $599.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $423.40 | $112.00 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $423.40 | $105.85 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $423.40 | $77.62 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $423.40 | $77.62 – $599.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $423.40 | $112.00 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $423.40 | $112.00 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $423.40 | $84.68 – $612.96 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $423.40 | $77.62 – $612.96 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $423.40 | $90.61 – $612.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $423.40 | $105.85 – $612.96 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $423.40 | $56.45 – $612.96 |
| UPMC Kane | Kane, PA | $425.40 | $261.75 – $963.76 |
| Mercy Hospital Ozark | River Ozark, AR | $425.75 | $202.75 – $603.61 |
| Mercy Hospital Paris | Academy Paris, AR | $425.75 | $202.75 – $603.61 |
| Mercy Hospital Waldron | Waldron, AR | $425.75 | $202.75 – $603.61 |
| Mercy Hospital Boonville | Booneville, AR | $425.75 | $202.75 – $603.61 |
| Southampton Medical Center | Franklin, VA | $426.30 | not published |
| MercyOne New Hampton Medical Center | New Hampton, IA | $428.35 | $260.90 – $659.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $428.35 | $249.10 – $741.77 |