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 |
|---|---|---|---|
| Yavapai Regional Medical Center (East) | Prescott, AZ | $563.18 | $241.39 – $721.05 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $564.20 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $564.20 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $564.20 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $564.20 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $564.20 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $564.20 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $564.20 | not published |
| Princeton Community Hospital | Princeton, WV | $564.50 | $168.05 – $1,245.18 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $568.75 | $49.44 – $478.96 |
| Sanford Medical Center Bismarck | Bismarck, ND | $568.80 | $210.85 – $639.90 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $569.80 | $166.59 – $428.69 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $569.80 | not published |
| SSM Health Ripon Community Hospital | Ripon, WI | $569.80 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $578.90 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $586.08 | $186.58 – $595.48 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $586.08 | $186.58 – $708.55 |
| Swedish Issaquah | Issaquah, WA | $586.08 | $186.58 – $517.77 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $586.56 | not published |
| Baptist Hospital | MIAMI, FL | $586.95 | $156.22 – $812.70 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $586.95 | $167.00 – $812.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $586.95 | $157.12 – $812.70 |
| Fishermens Community Hospital | MARATHON, FL | $586.95 | $150.80 – $812.70 |
| Homestead Hospital | HOMESTEAD, FL | $586.95 | $153.51 – $812.70 |
| Mariners Hospital | TAVERNIER, FL | $586.95 | $156.22 – $812.70 |
| West Kendall Baptist Hospital | MIAMI, FL | $586.95 | $154.41 – $812.70 |
| Doctors Hospital | CORAL GABLES, FL | $586.95 | $158.03 – $812.70 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $596.00 | $190.99 – $240.43 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $601.50 | $229.19 – $235.94 |
| Sentara RMH Medical Center | Harrisonburg, VA | $601.50 | $229.19 – $235.94 |
| Providence Valdez Medical Center | Valdez, AK | $606.84 | not published |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $609.95 | $195.40 – $264.58 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $609.95 | $195.40 – $264.58 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $609.95 | $195.40 – $195.40 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $609.95 | $195.40 – $264.58 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $609.95 | $195.40 – $264.58 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $609.95 | $195.40 – $264.58 |
| Pen Bay Medical Center | Rockport, ME | $619.60 | $223.55 – $432.63 |
| Weirton Medical Center | Weirton, WV | $622.50 | $168.05 – $1,088.01 |
| Virginia Mason Medical Center | Seattle, WA | $638.52 | $6.74 – $779.92 |
| Adventhealth Hendersonville | Hendersonville, NC | $640.00 | $219.78 – $548.79 |
| Marcum Wallace Hospital | Irvine, KY | $644.40 | not published |
| avon hospital | Avon, OH | $651.30 | $60.22 – $901.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | $651.30 | $98.32 – $901.80 |
| euclid hospital | Euclid, OH | $651.30 | $61.69 – $901.80 |
| fairview hospital | Cleveland, OH | $651.30 | $57.96 – $901.80 |
| lutheran hospital | Cleveland, OH | $651.30 | $55.18 – $901.80 |
| hillcrest hospital | Mayfield Heights, OH | $651.30 | $60.38 – $901.80 |
| lodi hospital | Lodi, OH | $651.30 | $94.21 – $901.80 |
| marymount hospital | Garfield Heights, OH | $651.30 | $54.48 – $901.80 |