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 |
|---|---|---|---|
| Adventhealth Tampa | Tampa, FL | $769.30 | $222.32 – $493.55 |
| Adventhealth Riverview | Riverview, FL | $769.30 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $769.30 | $222.32 – $493.55 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $769.30 | $222.32 – $515.58 |
| Adventhealth Carrollwood | Tampa, FL | $769.30 | $222.32 – $493.55 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $769.30 | $222.32 – $493.55 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | $785.57 | $231.85 – $245.90 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $790.35 | $218.13 – $229.04 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $790.35 | $218.13 – $229.04 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $797.04 | $188.00 – $1,107.00 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | $806.85 | $204.25 – $300.13 |
| UPMC Bedford | Everett, PA | $820.20 | $261.75 – $1,230.30 |
| Richmond Community Hospital | Richmond, VA | $824.40 | not published |
| Baptist Health Floyd | New Albany, IN | $824.80 | $167.00 – $1,649.60 |
| Baptist Health Hardin | Elizabethtown, KY | $824.80 | $147.82 – $2,199.46 |
| Baptist Health Corbin | Corbin, KY | $824.80 | $1,099.73 – $2,199.46 |
| Baptist Health La Grange | La Grange, KY | $824.80 | $147.82 – $2,199.46 |
| Baptist Health Lexington | Lexington, KY | $824.80 | $325.00 – $2,235.75 |
| Baptist Health Louisville | Louisville, KY | $824.80 | $147.82 – $2,199.46 |
| Baptist Health Paducah | Paducah, KY | $824.80 | $1,099.73 – $2,199.46 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $834.00 | $214.00 – $312.08 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $840.76 | not published |
| Providence Seward Hospital | Seward, AK | $845.52 | not published |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $846.64 | $215.91 – $462.05 |
| Covenant Specialty Hospital | Lubbock, TX | $850.50 | not published |
| Mary Immaculate Hospital | Newport News, VA | $855.60 | not published |
| Maryview Hospital | Portsmouth, VA | $855.60 | not published |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | $855.84 | $204.25 – $300.13 |
| UPMC Community Osteopathic | Harrisburg, PA | $865.20 | $195.27 – $1,225.70 |
| UPMC Hanover | Hanover, PA | $865.20 | $195.27 – $591.00 |
| UPMC Lititz | Lititz, PA | $865.20 | $195.27 – $591.00 |
| UPMC Memorial | York, PA | $865.20 | $112.02 – $591.00 |
| UPMC Somerset | Somerset, PA | $865.20 | $136.05 – $266.29 |
| UPMC Carlisle | Carlisle, PA | $865.20 | $195.27 – $1,225.70 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | $878.55 | $204.25 – $300.13 |
| The Unity Hospital of Rochester | Rochester, NY | $893.58 | $161.55 – $365.43 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $911.40 | $216.90 – $629.01 |
| Adventhealth South Overland Park | Overland Park, KS | $911.40 | not published |
| Adventhealth Ottawa | Ottawa, KS | $911.40 | $121.02 – $368.73 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $914.10 | $373.36 – $373.36 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Hospital Frisco | Frisco, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $914.10 | $292.90 – $292.90 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $914.10 | $271.14 – $271.14 |