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. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $280.20 | $42.93 – $172.93 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $284.90 | $100.00 – $814.00 |
| Baylor St Luke's Medical Center | Houston, TX | $284.90 | $100.00 – $814.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $284.90 | $100.00 – $814.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $284.90 | $100.00 – $814.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $284.90 | $100.00 – $814.00 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $285.00 | $219.14 – $328.71 |
| Parkview Logansport Hospital | Logansport, IN | $285.00 | $219.14 – $438.28 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $285.60 | $32.77 – $172.93 |
| CHI Health Mercy Corning | Corning, IA | $285.60 | $141.47 – $322.42 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $285.66 | $190.66 – $828.59 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $285.66 | $190.66 – $828.59 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $285.66 | $190.66 – $828.59 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $285.66 | $190.66 – $828.59 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $285.66 | $190.66 – $828.59 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $285.66 | $190.66 – $828.59 |
| Harbour View Medical Center | Suffolk, VA | $287.40 | not published |
| Rose de Lima Hospital | Henderson, NV | $288.01 | $168.01 – $798.65 |
| Providence Hood River Memorial Hospital | Hood River, OR | $288.75 | not published |
| Berger Hospital | Circleville, OH | $289.25 | $217.95 – $217.95 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $289.60 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $289.60 | not published |
| Kettering Health Dayton (Grandview) | Dayton, OH | $289.60 | not published |
| Soin Medical Center | Beaver Creek, OH | $289.60 | not published |
| Kettering Health Greene Memorial | Xenia, OH | $289.60 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $289.60 | not published |
| Kettering Health Troy | Troy, OH | $289.60 | not published |
| MercyOne Dubuque Medical Center | Dubuque, IA | $290.55 | $137.00 – $447.00 |
| Southeastern Medical Center | Cambridge, OH | $290.55 | $217.95 – $226.67 |
| CHI Health Missouri Valley | Missouri Valley, IA | $291.55 | $115.15 – $322.42 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $291.58 | $215.91 – $421.02 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $292.00 | $233.14 – $390.85 |
| Bayshore Medical Center | Holmdel, NJ | $292.08 | $224.00 – $614.00 |
| Hackensack University Medical Center | Hackensack, NJ | $292.08 | $54.05 – $406.00 |
| Ocean University Medical Center | Brick, NJ | $292.08 | $60.00 – $517.00 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $292.08 | $90.00 – $517.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $292.08 | $60.00 – $576.00 |
| Jersey Shore University Medical Center | Neptune City, NJ | $292.08 | $224.00 – $517.00 |
| Palisades Medical Center | North Bergen, NJ | $292.08 | $118.00 – $769.00 |
| Riverview Medical Center | Red Bank, NJ | $292.08 | $224.00 – $517.00 |
| Southern Ocean Medical Center | Manahawkin, NJ | $292.08 | $160.00 – $517.00 |
| Wetzel County Hospital | New Martinsville, WV | $295.50 | $168.05 – $374.12 |
| Arizona General Hospital Mesa | Mesa, AZ | $296.16 | $241.39 – $979.59 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $297.50 | $100.00 – $637.50 |
| Providence St Joseph Hospital Orange | Orange, CA | $297.60 | $211.93 – $461.26 |
| Jefferson Medical Center | Ranson, WV | $299.50 | not published |
| Advocate Sherman Hospital | Elgin, IL | $300.00 | $59.10 – $472.78 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $300.00 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $300.00 | not published |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $301.07 | $187.30 – $801.44 |