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 |
|---|---|---|---|
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $142.36 | $128.09 – $477.99 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $142.36 | $212.44 – $477.99 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $142.36 | $213.90 – $383.77 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $142.36 | $213.90 – $334.68 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $142.36 | $213.90 – $213.90 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $144.16 | $73.05 – $620.68 |
| CHI Memorial Hospital Hixson | Hixson, TN | $144.16 | $70.00 – $340.90 |
| 64-0663760 BMH Booneville | Booneville, MS | $144.24 | $126.63 – $217.00 |
| Banner University Medical Center Tucson | Tucson, AZ | $144.43 | $81.00 – $895.41 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $145.00 | $177.48 – $240.87 |
| CASTLE MEDICAL CENTER | Kailua, HI | $145.92 | $239.72 – $798.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $146.49 | $159.52 – $421.11 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $147.72 | $214.87 – $548.15 |
| Ascension Saint Thomas Highlands | Sparta, TN | $148.26 | $159.52 – $421.11 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $148.26 | $159.52 – $421.11 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $148.48 | $154.50 – $232.00 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $150.25 | $126.63 – $217.00 |
| Banner Desert Medical Center | Mesa, AZ | $150.65 | $81.00 – $1,049.52 |
| Banner Heart Hospital | Mesa, AZ | $152.28 | $81.00 – $880.10 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $154.16 | $61.69 – $393.12 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $155.04 | $150.00 – $492.00 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $155.04 | $122.40 – $526.00 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $155.04 | $153.43 – $1,027.61 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $155.40 | $187.30 – $881.18 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $157.15 | $89.95 – $296.66 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | $157.53 | $208.55 – $300.13 |
| Barnesville Hospital | Barnesville, OH | $160.00 | not published |
| ST HELENA HOSPITAL | Vallejo, CA | $160.20 | $187.30 – $693.66 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $161.54 | $217.00 – $217.00 |
| St. Joseph's Hospital | Buckhannon, WV | $162.00 | not published |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $162.40 | $89.51 – $279.39 |
| Gouverneur Hospital | Gouverneur, NY | $169.99 | $382.90 – $382.90 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | $170.00 | $204.25 – $300.13 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $173.08 | $223.86 – $518.70 |
| Dickenson Community Hospital | CLINTWOOD, VA | $173.88 | $46.00 – $529.74 |
| Hancock County Hospital | SNEEDVILLE, TN | $173.88 | $46.00 – $405.05 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $173.88 | $46.00 – $529.74 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $173.88 | $46.00 – $401.19 |
| Reynolds Memorial Hospital | Glen Dale, WV | $176.50 | $138.96 – $374.12 |
| Ascension Providence | Waco, TX | $177.12 | $218.02 – $493.16 |
| 45-2896080 MBMC Leake | Carthage, MS | $177.30 | $217.00 – $217.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $178.88 | $209.91 – $541.09 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $179.20 | $89.51 – $596.40 |
| Canton-Potsdam Hospital | Potsdam, NY | $179.64 | $58.42 – $491.97 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $179.84 | $125.00 – $557.39 |
| Banner Payson Medical Center | Payson, AZ | $181.30 | $81.00 – $333.00 |
| CHI Health Nebraska Heart | Lincoln, NE | $184.46 | $96.24 – $328.82 |
| United Hospital Center | Bridgeport, WV | $185.00 | $168.05 – $374.12 |
| Bristol Regional Medical Center | BRISTOL, TN | $185.85 | $57.00 – $521.76 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $185.85 | $46.00 – $473.93 |