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 |
|---|---|---|---|
| Lincoln Medical Center | Bronx, NY | $253.75 | $0.01 – $645.00 |
| Harlem Hospital Center | New York, NY | $253.75 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn, NY | $253.75 | $0.01 – $645.00 |
| Jacobi Medical Center | Bronx, NY | $253.75 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn, NY | $253.75 | $0.01 – $645.00 |
| North Central Bronx | Bronx, NY | $253.75 | $0.01 – $645.00 |
| Whitesburg ARH Hospital | Whitesburg, KY | $253.80 | $215.57 – $215.57 |
| Shelby Hospital | Shelby, OH | $254.15 | not published |
| Mansfield Hospital | Mansfield, OH | $254.15 | $217.95 – $226.67 |
| Defiance Hospital | Defiance, OH | $255.00 | not published |
| St Francis Downtown | Greenville, SC | $255.60 | not published |
| St Francis Eastside | Greenville, SC | $255.60 | not published |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $256.00 | $219.14 – $328.71 |
| Parkview Huntington Hospital | Huntington, IN | $256.50 | $219.14 – $328.71 |
| Parkview LaGrange Hospital | Lagrange, IN | $257.50 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $258.50 | not published |
| Parkview DeKalb Hospital | Auburn, IN | $260.00 | $219.14 – $328.71 |
| CHI Health St. Francis | Grand Island, NE | $260.78 | $101.66 – $415.48 |
| Parkview Noble Hospital | Kendallville, IN | $261.00 | $219.14 – $328.71 |
| Washakie Medical Center | Worland, WY | $261.20 | $192.00 – $388.00 |
| UPMC Altoona | Altoona, PA | $262.20 | $137.44 – $444.58 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $264.00 | $32.77 – $172.93 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $264.00 | $42.93 – $172.93 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $264.00 | $32.77 – $172.93 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $264.00 | $42.93 – $172.93 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $264.00 | $42.93 – $172.93 |
| Parkview Wabash Hospital | Wabash, IN | $264.00 | not published |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $264.00 | $42.93 – $172.93 |
| Van Wert Hospital | Van Wert, OH | $264.55 | $217.95 – $222.31 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $268.00 | $219.26 – $541.45 |
| MultiCare Valley Hospital | Spokane Valley, WA | $268.00 | $134.87 – $1,023.99 |
| MultiCare Deaconess Hospital | Spokane, WA | $268.00 | $134.87 – $1,026.29 |
| Parkview Ortho Hospital | Fort Wayne, IN | $269.00 | $219.14 – $328.71 |
| CHI Health Good Samaritan | Kearney, NE | $269.62 | $92.82 – $411.06 |
| MUSC Health Kershaw Medical Center | Camden, SC | $270.50 | $130.08 – $240.87 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $270.85 | $90.00 – $397.94 |
| Arizona General Hospital Laveen | Phoenix, AZ | $274.58 | $241.39 – $979.59 |
| CHI Health St. Mary's | Nebraska City, NE | $274.73 | $70.91 – $317.76 |
| St Mary's Hospital | Richmond, VA | $275.40 | not published |
| St Francis Medical Center | Midlothian, VA | $275.40 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $275.40 | not published |
| MercyOne North Iowa Medical Center | Mason City, IA | $276.25 | $108.80 – $440.25 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $276.84 | $187.30 – $1,268.85 |
| Providence Newberg Medical Center | Newberg, OR | $277.50 | $222.35 – $413.53 |
| Providence Portland Medical Center | Portland, OR | $277.50 | $222.35 – $451.94 |
| Providence St Vincent Medical Center | Portland, OR | $277.50 | $222.35 – $451.94 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $277.50 | $222.35 – $451.94 |
| Providence Milwaukie Hospital | Milwaukie, OR | $277.50 | $222.35 – $451.94 |
| Jackson General Hospital | Ripley, WV | $278.50 | not published |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $280.20 | $32.77 – $172.93 |