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 |
|---|---|---|---|
| HCA HealthONE SKY RIDGE | Lone Tree, CO | $2,258.85 | $231.85 – $245.90 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | $2,258.85 | $211.85 – $307.80 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | $2,307.00 | $211.85 – $2,519.40 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | $2,569.73 | $200.09 – $266.78 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | $2,680.00 | $211.85 – $2,063.40 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | $3,480.00 | $216.60 – $704.49 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | $3,642.00 | $216.31 – $2,063.40 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $182.72 – $235.91 |
| Emory Hospital Warner Robins | Warner Robins, GA | not published | $224.10 – $512.05 |
| Emory Hospital Perry | Perry, GA | not published | $224.10 – $512.05 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $211.85 – $1,835.40 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $204.25 – $300.13 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $204.25 – $300.13 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $177.86 – $277.90 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $204.25 – $300.13 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $204.25 – $244.55 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $204.25 – $244.55 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $215.65 – $244.55 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $204.25 – $300.13 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $204.25 – $300.13 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $231.85 – $245.90 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $231.85 – $245.90 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $231.85 – $245.90 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $199.06 – $245.90 |
| HCA HealthONE AURORA | Aurora, CO | not published | $231.85 – $245.90 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $222.38 – $487.88 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $222.38 – $999.61 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $222.38 – $487.88 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $222.38 – $999.61 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $222.38 – $487.88 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $222.38 – $487.88 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $222.38 – $487.88 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $217.00 – $476.07 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $190.99 – $240.43 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $190.99 – $240.43 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $146.26 – $268.40 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $190.99 – $240.43 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $188.22 – $303.35 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $182.92 – $459.84 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $182.92 – $459.84 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $210.88 – $319.58 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $159.52 – $319.58 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $219.41 – $592.64 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $220.36 – $595.19 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $219.41 – $592.64 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | not published | $226.20 – $592.64 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $214.80 – $580.15 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $220.36 – $595.19 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $227.17 – $595.19 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $219.41 – $592.64 |