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 |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE, TN | $185.85 | $37.00 – $473.93 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $185.85 | $43.00 – $473.93 |
| Holston Valley Medical Center | KINGSPORT, TN | $185.85 | $61.00 – $521.76 |
| Indian Path Community Hospital | KINGSPORT, TN | $185.85 | $38.00 – $521.76 |
| Johnson City Medical Center | JOHNSON CITY, TN | $185.85 | $44.00 – $473.93 |
| Johnston Memorial Hospital | ABINGDON, VA | $185.85 | $46.00 – $489.85 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $185.85 | $46.00 – $539.28 |
| Russell County Hospital | LEBANON, VA | $185.85 | $46.00 – $489.85 |
| Smyth County Community Hospital | MARION, VA | $185.85 | $46.00 – $489.85 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $185.85 | $39.00 – $473.93 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $191.94 | $68.55 – $388.45 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $191.94 | $77.69 – $388.45 |
| Lasting Hope Recovery Center | Omaha, NE | $191.94 | $77.69 – $388.45 |
| CHI Health Immanuel | Omaha, NE | $191.94 | $63.98 – $388.45 |
| CHI Health Lakeside | Omaha, NE | $191.94 | $73.12 – $388.45 |
| CHI Health Midlands | Papillion, NE | $191.94 | $82.26 – $388.45 |
| New Ulm Medical Center | MN 56073, MN | $192.92 | $150.80 – $603.94 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $197.54 | $112.82 – $490.49 |
| MUSC Health Black River Medical Center | Cades, SC | $199.50 | $157.70 – $240.87 |
| Banner Churchill Community Hospital | Fallon, NV | $200.56 | $91.78 – $338.88 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $201.20 | $126.63 – $217.00 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $201.96 | $80.00 – $1,716.66 |
| Hardin Memorial Hospital | Kenton, OH | $202.80 | not published |
| HSHS St. Joseph's Hospital | Breese, IL | $203.76 | $197.43 – $547.43 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $204.00 | $32.77 – $172.93 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $204.88 | $217.00 – $217.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $206.01 | $70.00 – $340.90 |
| San Martin Hospital | Las Vegas, NV | $206.44 | $168.01 – $798.65 |
| Providence St Joseph Hospital | Chewelah, WA | $207.90 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $207.90 | not published |
| Houston Methodist Hospital | Houston, TX | $209.50 | $226.92 – $907.68 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $213.00 | $32.77 – $172.93 |
| CHI Health St. Elizabeth | Lincoln, NE | $213.00 | $97.98 – $340.80 |
| Banner Gateway Medical Center | Gilbert, AZ | $214.48 | $81.00 – $1,049.52 |
| Henry Ford Providence Novi Hospital | Novi, MI | $215.04 | $125.00 – $7,542.64 |
| Grady Memorial Hospital | Delaware, OH | $215.80 | $217.95 – $226.67 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $217.14 | $218.40 – $305.76 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $224.80 | $228.72 – $452.92 |
| UPMC McKeesport | Mckeesport, PA | $225.00 | $138.75 – $444.58 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $225.99 | $98.00 – $859.13 |
| Riverside Methodist Hospital | Columbus, OH | $226.85 | $217.95 – $217.95 |
| Dublin Methodist Hospital | Dublin, OH | $226.85 | not published |
| Grant Medical Center | Columbus, OH | $226.85 | $217.95 – $217.95 |
| Doctors Hospital | Columbus, OH | $226.85 | $217.95 – $217.95 |
| Abbott Northwestern Hospital | MN 55407, MN | $228.58 | $109.72 – $528.40 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $228.58 | $109.72 – $403.17 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $228.58 | $109.72 – $403.17 |
| Siena Hospital | Henderson, NV | $228.59 | $168.01 – $798.65 |
| UPMC Mercy | Pittsburgh, PA | $228.60 | $137.44 – $351.06 |
| Jewish Hospital | Cincinnati, OH | $228.60 | not published |