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 |
|---|---|---|---|
| MercyOne Oelwein Medical Center | Oelwein, IA | $428.35 | $251.87 – $659.00 |
| MercyOne Newton Medical Center | Newton, IA | $428.35 | $178.58 – $659.00 |
| Harlan ARH Hospital | KY 40831, KY | $429.00 | $215.57 – $215.57 |
| Paintsville ARH Hospital | Paintsville, KY | $429.00 | $215.57 – $215.57 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $429.60 | $138.75 – $645.15 |
| Mercy Hospital Logan County | Guthrie, OK | $430.30 | $202.75 – $367.05 |
| Mercy Hospital Watonga | Watonga, OK | $430.30 | $202.75 – $367.05 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $430.30 | $202.75 – $367.05 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $430.50 | $219.78 – $224.18 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $431.20 | $210.44 – $485.10 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $432.00 | $143.09 – $392.10 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $432.00 | $80.00 – $392.10 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $432.00 | $85.60 – $392.10 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $432.00 | $77.44 – $392.10 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $432.00 | $138.44 – $308.69 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $432.00 | $106.33 – $242.42 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $432.00 | $95.90 – $392.10 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $432.00 | $172.70 – $392.10 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $432.00 | $142.99 – $392.10 |
| Methodist Charlton Medical Center | Dallas, TX | $433.00 | $5.71 – $616.44 |
| Methodist Dallas Medical Center | Dallas, TX | $433.00 | $5.71 – $616.44 |
| Methodist Mansfield Medical Center | Mansfield, TX | $433.00 | $5.71 – $616.44 |
| Methodist Midlothian Medical Center | Midlothian, TX | $433.00 | $228.31 – $616.44 |
| Methodist Richardson Medical Center | Richardson, TX | $433.00 | $7.44 – $616.44 |
| Methodist Celina Medical Center | Celina, TX | $433.00 | $13.49 – $570.78 |
| Methodist Southlake Medical Center | Souhtlake, TX | $433.00 | $5.71 – $616.44 |
| Franklin Memorial Hospital | Farmington, ME | $436.85 | $131.06 – $410.64 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $437.45 | $202.75 – $367.05 |
| Mercy Hospital Healdton | Healdton, OK | $437.45 | $202.75 – $367.05 |
| Healdsburg Hospital | Healdsburg, CA | $439.11 | $265.50 – $469.91 |
| Springfield Medical Center | Springfield, OH | $441.00 | not published |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $442.00 | $49.44 – $436.53 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $442.75 | $166.59 – $222.12 |
| UPMC Cole | Coudersport, PA | $444.00 | $152.00 – $592.00 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $444.18 | $74.00 – $720.77 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $445.00 | $89.45 – $445.00 |
| Childrens Specialized Hospital | Mountainside, NJ | $445.50 | $237.00 – $394.00 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $446.40 | $286.25 – $502.20 |
| Mercy Hospital Lincoln | Troy, MO | $448.50 | $275.79 – $303.36 |
| Beckley ARH Hospital | Beckley, WV | $450.00 | $215.57 – $215.57 |
| Hazard ARH Regional Medical Center | Hazard, KY | $450.00 | $215.57 – $215.57 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $450.28 | $197.00 – $392.10 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $450.28 | $203.32 – $326.84 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $450.28 | $129.46 – $307.88 |
| Thomas Hospitals | South Charleston, WV | $451.00 | $168.05 – $1,081.92 |
| Sanford Canton Inwood Medical Center | Canton, SD | $452.00 | $193.23 – $508.50 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | $455.87 | $217.00 – $580.15 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $456.90 | $219.27 – $396.86 |
| Orange County Anaheim Medical Center | Anaheim, CA | $457.08 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $457.08 | not published |