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 |
|---|---|---|---|
| Anderson Hospital | Cincinnati, OH | $228.60 | not published |
| Clermont Hospital | Batavia, OH | $228.60 | not published |
| Kings Mills Hospital | Mason, OH | $228.60 | not published |
| Fairfield Hospital | Fairfield, OH | $228.60 | not published |
| Mercy West Hospital | Cincinnati, OH | $228.60 | not published |
| Banner Wyoming Medical Center | Casper, WY | $229.32 | $147.42 – $529.62 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $232.52 | $225.97 – $1,544.48 |
| Summersville Regional Medical Center | Summersville, WV | $233.00 | not published |
| WILLITS HOSPITAL INC | Willits, CA | $233.10 | $187.30 – $598.00 |
| Henry Ford St John Hospital | Detroit, MI | $233.52 | $204.74 – $409.49 |
| Henry Ford Warren Hospital | Warren, MI | $233.52 | $204.74 – $409.49 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $233.69 | $88.40 – $518.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $235.20 | $152.00 – $882.64 |
| East Morgan County Hospital | Brush, CO | $236.80 | $168.56 – $388.00 |
| UPMC East | Monroeville, PA | $237.00 | $98.75 – $444.58 |
| Camden Clark Medical Center | Parkersburg, WV | $237.00 | $168.05 – $374.12 |
| UPMC St. Margaret | Pittsburgh, PA | $239.40 | $138.75 – $545.54 |
| Allina Health Faribault Medical Center | Faribualt, MN | $240.35 | $135.39 – $392.47 |
| Buffalo Hospital | Buffalo, MN | $240.35 | $135.39 – $392.47 |
| Cambridge Medical Center | Cambridge, MN | $240.35 | $135.39 – $392.47 |
| River Falls Area Hospital | River Falls, MN | $240.35 | $173.28 – $857.75 |
| Owatonna Hospital | Owatonna, MN | $240.35 | $135.39 – $392.47 |
| UPMC Chautauqua | Jamestown, NY | $243.00 | $76.81 – $364.50 |
| Wellstar Cobb Hospital | Austell, GA | $244.14 | $228.48 – $422.69 |
| Wellstar Douglas Hospital | Douglasville, GA | $244.14 | $228.48 – $422.69 |
| Wellstar Kennestone Hospital | Marietta, GA | $244.14 | $228.48 – $422.69 |
| Wellstar MCG Health | Augusta, GA | $244.14 | $228.48 – $447.82 |
| Wellstar North Fulton Hospital | Roswell, GA | $244.14 | $228.48 – $422.69 |
| Wellstar Paulding Hospital | Hiram, GA | $244.14 | $228.48 – $422.69 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $244.14 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $244.14 | $228.48 – $447.82 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $244.14 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $244.14 | $228.48 – $447.82 |
| Wellstar Windy Hill Hospital | Marietta, GA | $244.14 | $224.10 – $439.24 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $244.97 | $113.70 – $440.44 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $245.00 | $249.33 – $461.26 |
| Marion General Hospital | Marion, OH | $245.05 | $217.95 – $226.67 |
| Henry Ford River District Hospital | China Township, MI | $246.40 | $204.74 – $409.49 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $247.90 | $210.49 – $548.15 |
| Metropolitan Hospital Center | New York, NY | $249.66 | $0.01 – $645.00 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $249.92 | $191.43 – $1,405.80 |
| Covenant Medical Center | Lubbock, TX | $250.00 | $226.92 – $680.84 |
| Covenant Children's Hospital | Lubbock, TX | $250.00 | $680.84 – $680.84 |
| Bellevue Hospital Center | NY 10016, NY | $250.72 | $0.01 – $645.00 |
| Elmhurst Hospital Center | NY 11373, NY | $251.82 | $0.01 – $645.00 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $252.50 | $129.26 – $240.87 |
| MUSC Health Chester Medical Center | Chester, SC | $252.50 | $177.48 – $240.87 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $252.50 | $218.97 – $240.87 |
| Queens Hospital Center | Jamaica, NY | $252.63 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn, NY | $253.75 | $0.01 – $645.00 |