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 |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $914.10 | $271.14 – $271.14 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $914.10 | $373.36 – $373.36 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $920.00 | $195.66 – $319.58 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | $924.21 | $146.26 – $240.43 |
| STONECREST MEDICAL CENTER | Smyrna, TN | $928.13 | $195.66 – $319.58 |
| NewYork-Presbyterian Queens | Flushing, NY | $936.00 | $169.45 – $264.41 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $949.00 | $202.73 – $442.23 |
| Corewell Health Taylor | Taylor, MI | $949.00 | $202.73 – $502.74 |
| Corewell Health Trenton | Trenton, MI | $949.00 | $202.73 – $438.38 |
| Corewell Health Troy | Troy, MI | $949.00 | $202.73 – $505.49 |
| Corewell Health Wayne | Wayne, MI | $949.00 | $202.73 – $452.66 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | $950.00 | $204.25 – $266.78 |
| Adventhealth Connerton | Land O Lakes, FL | $970.74 | not published |
| cleveland clinic main campus | Cleveland, OH | $998.40 | $1.10 – $1,382.40 |
| akron general | Akron, OH | $998.40 | $1.10 – $1,382.40 |
| cleveland clinic florida weston hospital | Weston, FL | $998.40 | $126.00 – $1,536.00 |
| martin north hospital | Stuart, FL | $998.40 | $130.98 – $1,536.00 |
| indian river hospital | Vero Beach, FL | $998.40 | $143.21 – $1,536.00 |
| mercy hospital | Canton, OH | $998.40 | $1.10 – $1,382.40 |
| Sunnyside Medical Center | CLACKAMAS, OR | $1,054.00 | not published |
| Westside Medical Center | HILLSBORO, OR | $1,054.00 | not published |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | $1,057.59 | $204.25 – $466.87 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | $1,071.40 | $195.66 – $319.58 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | $1,093.85 | $211.26 – $222.04 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | $1,104.60 | $182.72 – $232.08 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | $1,112.29 | $182.72 – $235.91 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | $1,112.29 | $186.37 – $220.48 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | $1,141.36 | $204.25 – $300.13 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | $1,164.59 | $222.38 – $999.61 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | $1,169.00 | $208.55 – $2,678.96 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $1,213.74 | $204.25 – $244.55 |
| HCA FLORIDA LEHIGH HOSPITAL | LEHIGH ACRES, FL | $1,216.85 | $221.16 – $266.78 |
| Adventhealth Lake Wales | Lake Wales, FL | $1,236.51 | $222.32 – $493.55 |
| TRICITIES HOSPITAL | HOPEWELL, VA | $1,241.00 | $190.99 – $303.35 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | $1,293.70 | $156.53 – $319.58 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | $1,343.52 | $217.96 – $240.43 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | $1,347.00 | $177.86 – $266.78 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | $1,366.00 | $216.60 – $704.49 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $1,372.36 | $182.72 – $212.94 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | $1,440.00 | $211.85 – $467.40 |
| St Anne Hospital | Toledo, OH | $1,482.60 | not published |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | $1,517.00 | $216.60 – $311.82 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $1,567.74 | $214.80 – $580.15 |
| AdventHealth Orlando | Orlando, FL | $1,632.00 | $222.32 – $589.15 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $1,741.88 | $190.87 – $190.87 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | $1,842.00 | $200.09 – $266.78 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | $1,844.00 | $204.25 – $266.78 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | $1,913.00 | $211.85 – $1,379.40 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $1,992.51 | $204.25 – $244.55 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $2,079.00 | $204.25 – $266.78 |