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 |
|---|---|---|---|
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $498.17 | $214.80 – $580.15 |
| CHI Health Plainview | Plainview, NE | $499.80 | $200.69 – $445.54 |
| Sanford Fargo Medical Center | Fargo, ND | $500.00 | $113.81 – $562.50 |
| St. John's Camarillo Hospital | Camarillo, CA | $500.20 | $197.55 – $1,142.00 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $502.40 | $214.78 – $565.20 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $503.10 | $196.99 – $603.61 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | $503.37 | $233.23 – $256.55 |
| Covenant Hospital Plainview | Plainview, TX | $504.00 | $220.11 – $411.62 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $504.40 | $178.58 – $776.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $504.40 | $178.58 – $776.00 |
| CHI Health Schuyler | Schuyler, NE | $505.75 | $70.48 – $372.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $505.93 | $104.14 – $758.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $505.93 | $112.00 – $758.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $505.93 | $155.00 – $758.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $505.93 | $101.19 – $716.74 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $505.93 | $112.00 – $758.90 |
| Sanford Hospital Webster | Webster, SD | $506.40 | $198.76 – $569.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $506.88 | $187.30 – $687.00 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $507.00 | $196.00 – $509.34 |
| UPMC Hamot | Erie, PA | $508.80 | $137.44 – $498.36 |
| Adventhealth Rollins Brook | Lampasas, TX | $509.73 | $768.69 – $768.69 |
| Adventhealth Central Texas | Killeen, TX | $509.73 | $226.92 – $768.69 |
| Southern Virginia Medical Center | Emporia, VA | $511.50 | not published |
| Queen of The Valley Medical Center | Napa, CA | $513.06 | $265.50 – $265.50 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $515.43 | $211.20 – $485.66 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $516.10 | $136.28 – $404.70 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | $517.88 | $204.25 – $244.55 |
| Texas Health Hospital Mansfield | Mansfield, TX | $523.82 | $226.92 – $453.84 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $523.82 | $226.92 – $453.84 |
| AdventHealth Polk | Columbus, NC | $524.37 | not published |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $525.00 | $39.40 – $995.04 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $525.00 | $55.16 – $1,004.98 |
| Uniontown Hospital | Uniontown, PA | $531.50 | $168.05 – $453.64 |
| Moanalua Medical Center | HONOLULU, HI | $534.00 | not published |
| Adventhealth Waterman | Tavares, FL | $534.52 | $222.32 – $448.60 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | $535.56 | $217.40 – $319.58 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $540.60 | $190.66 – $828.59 |
| OSF Holy Family Medical Center | Monmouth, IL | $541.60 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $541.60 | not published |
| OSF St Francis Hospital | Escanaba, MI | $541.60 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $541.60 | $218.13 – $222.49 |
| OSF Saint Paul Medical Center | Mendota, IL | $541.60 | not published |
| HSHS St. Mary's Hospital | DECATUR, IL | $546.48 | $189.00 – $759.00 |
| St Elias Specialty Hospital | Anchorage, AK | $546.78 | $220.11 – $303.78 |
| Swedish Edmonds Hospital | Edmonds, WA | $551.04 | $233.23 – $793.97 |
| SSM Health Monroe Hospital | Monroe, WI | $554.95 | $222.12 – $222.12 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $555.45 | $190.66 – $828.59 |
| Rappahannock General Hospital | Kilmarnock, VA | $561.60 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $562.52 | $161.72 – $381.00 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $563.00 | $169.06 – $317.19 |