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 |
|---|---|---|---|
| Downey Medical Center | Downey, CA | $457.08 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $457.08 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $457.08 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $457.08 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $457.08 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $457.08 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $457.08 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $457.08 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $457.08 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $457.08 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $457.08 | not published |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $457.50 | $70.92 – $1,011.09 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $457.50 | $39.40 – $1,008.80 |
| Advocate Trinity Hospital | Chicago, IL | $457.50 | $39.40 – $1,004.98 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $458.02 | $129.00 – $947.21 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $459.55 | $202.75 – $478.96 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | $459.90 | $204.25 – $266.78 |
| Sanford Luverne Medical Center | Luverne, MN | $461.60 | $139.69 – $519.30 |
| UPMC Jameson | New Castle, PA | $463.20 | $84.70 – $261.75 |
| Petaluma Valley Hospital | Petaluma, CA | $464.10 | $260.19 – $265.50 |
| Sanford USD Medical Center | Sioux Falls, SD | $467.20 | $69.23 – $525.60 |
| Sanford Canby Medical Center | Canby, MN | $467.20 | $141.39 – $525.60 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $468.00 | $141.63 – $526.50 |
| Sanford Medical Center Mayville | Mayville, ND | $468.00 | $141.63 – $526.50 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $469.44 | $652.00 – $721.53 |
| Advocate Christ Medical Center | Oak Lawn, IL | $470.00 | $11.82 – $981.28 |
| Sanford Bagley Medical Center | Bagley, MN | $471.20 | $142.60 – $530.10 |
| Sanford Bemidji Medical Center | Bemidji, MN | $471.20 | $112.68 – $530.10 |
| MercyOne Clinton Medical Center | Clinton, IA | $473.20 | $178.00 – $728.00 |
| Stephens Memorial Hospital | Norway, ME | $475.25 | $185.35 – $451.49 |
| Sanford Worthington Medical Center | Worthington, MN | $477.60 | $115.12 – $537.30 |
| Mid Coast Hospital | Brunswick, ME | $478.70 | $117.38 – $450.50 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $480.00 | $215.57 – $215.57 |
| MultiCare Auburn Medical Center | Auburn, WA | $482.00 | $132.23 – $1,065.41 |
| MultiCare Capital Medical Center | Olympia, WA | $482.00 | $142.81 – $422.85 |
| MultiCare Covington Medical Center | Covington, WA | $482.00 | $132.23 – $1,065.41 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $482.00 | $132.23 – $1,065.41 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $482.00 | $132.23 – $1,809.82 |
| MultiCare Allenmore Hospital | Tacoma, WA | $482.00 | $132.23 – $1,065.41 |
| Sanford Sheldon Medical Center | Sheldon, IA | $484.80 | $172.71 – $545.40 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $488.60 | $218.13 – $218.13 |
| Sanford Westbrook Hospital | Westbrook, MN | $490.40 | $148.41 – $551.70 |
| Sanford Tracy Hospital | Tracy, MN | $490.40 | $148.41 – $551.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $491.24 | $98.25 – $614.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $491.24 | $90.06 – $736.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $491.24 | $112.00 – $736.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $491.24 | $112.00 – $654.98 |
| Adventhealth Durand | Durand, WI | $491.72 | not published |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $496.00 | $212.97 – $558.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $496.00 | $212.97 – $558.00 |