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 |
|---|---|---|---|
| medina hospital | Medina, OH | $651.30 | $56.52 – $901.80 |
| south pointe hospital | Warrensville Heights, OH | $651.30 | $64.29 – $901.80 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | $655.00 | $204.25 – $377.94 |
| Adventhealth Redmond | Rome, GA | $657.26 | $228.48 – $635.17 |
| MercyOne Centerville Medical Center | Centerville, IA | $659.00 | $180.83 – $659.00 |
| Adventhealth Sebring | Sebring, FL | $659.40 | $227.88 – $505.24 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $664.56 | $207.30 – $923.00 |
| Fremont Medical Center | FREMONT, CA | $666.40 | not published |
| Fresno Medical Center | FRESNO, CA | $666.40 | not published |
| Redwood City Medical Center | Redwood City, CA | $666.40 | not published |
| Oakland Medical Center | Oakland, CA | $666.40 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $666.40 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $666.40 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $666.40 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $666.40 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $666.40 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $666.40 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $666.40 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $666.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $666.40 | not published |
| Vallejo Medical Center | VALLEJO, CA | $666.40 | not published |
| Antioch Medical Center | ANTIOCH, CA | $666.40 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $666.40 | not published |
| San Jose Medical Center | SAN JOSE, CA | $666.40 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $666.40 | not published |
| MercyOne Des Moines Medical Center | Des Moines, IA | $668.00 | $87.64 – $440.25 |
| Adventhealth Ocala | Ocala, FL | $670.39 | $222.32 – $493.55 |
| Love County Health Center | Marietta, OK | $673.00 | $202.75 – $202.75 |
| MaineHealth - Memorial Hospital | North Conway, NH | $680.25 | $223.55 – $416.84 |
| Waldo County General Hospital | Belfast, ME | $685.65 | $224.13 – $645.88 |
| Adventhealth Wauchula | Wauchula, FL | $692.37 | not published |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | $693.50 | $204.25 – $300.13 |
| Adventhealth Murray | Po Box 1406, GA | $703.16 | $228.48 – $452.85 |
| Adventhealth Gordon | Calhoun, GA | $703.16 | $223.91 – $452.85 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $708.40 | $216.07 – $264.58 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $714.00 | $168.52 – $240.43 |
| Rochester General Hospital | Rochester, NY | $726.03 | $161.55 – $161.55 |
| Newark Wayne Community Hospital | Newark, NY | $726.03 | $161.55 – $461.48 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $726.03 | $157.14 – $256.96 |
| Providence Alaska Medical Center | Anchorage, AK | $726.18 | $841.28 – $841.28 |
| Inova Alexandria Hospital | Alexandria, VA | $726.50 | $120.48 – $914.08 |
| Inova Fairfax Hospital | Falls Church, VA | $726.50 | $120.48 – $914.08 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $726.50 | $120.48 – $914.08 |
| Inova Loudoun Hospital | Leesburg, VA | $726.50 | $120.48 – $914.08 |
| Inova Mount Vernon Hospital | Alexandria, VA | $726.50 | $120.48 – $914.08 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | $727.13 | $156.53 – $319.58 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $740.12 | $204.25 – $300.13 |
| MENORAH MEDICAL CENTER | Overland Park, KS | $740.19 | $182.72 – $232.08 |
| Sentara Halifax Regional Hospital | South Boston, VA | $750.50 | $229.19 – $235.94 |
| Adventhealth Dade City | Dade City, FL | $769.30 | $222.32 – $503.93 |