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 |
|---|---|---|---|
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $49.44 – $860.53 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $102.00 – $321.45 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $18.32 – $129.69 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $141.00 – $273.00 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $49.44 – $335.64 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $141.00 – $497.15 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $141.00 – $525.11 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $141.00 – $465.21 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $74.00 – $880.50 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $281.00 – $487.17 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $155.00 – $638.91 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $155.00 – $638.91 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $233.60 – $233.60 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $155.00 – $638.91 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $155.00 – $638.91 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $102.00 – $321.45 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | not published | $217.22 – $646.61 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $66.00 – $357.00 |
| Monmouth Medical Center | Long Branch, NJ | not published | $66.00 – $357.00 |
| Jersey City Medical Center | Jersey City, NJ | not published | $66.00 – $291.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | not published | $217.22 – $646.61 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $66.00 – $357.00 |
| Clara Maass Medical Center | Belleville, NJ | not published | $66.00 – $357.00 |
| Community Medical Center | Toms River, NJ | not published | $66.00 – $392.00 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $217.22 – $708.18 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $66.00 – $170.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $217.22 – $708.18 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $218.40 – $580.50 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $212.68 – $548.15 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $219.41 – $592.64 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $218.40 – $580.50 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $230.09 – $580.50 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $211.47 – $580.15 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $228.00 – $235.94 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $217.22 – $646.61 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $212.68 – $548.15 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $199.94 – $421.11 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $219.26 – $405.63 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $205.78 – $205.78 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $213.00 – $596.40 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $125.00 – $479.89 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $66.00 – $710.00 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $213.00 – $596.40 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $117.90 – $611.90 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $169.45 – $388.48 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $169.45 – $453.02 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $169.45 – $446.05 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $66.74 – $274.22 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $131.19 – $529.66 |