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 |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $303.60 | $44.80 – $301.15 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $303.60 | $47.60 – $102.20 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $303.60 | $63.00 – $65.80 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $304.20 | $32.77 – $172.93 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $305.40 | $42.93 – $172.93 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $305.40 | $42.93 – $172.93 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $308.10 | $151.79 – $410.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $308.10 | $151.79 – $410.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $308.10 | $151.79 – $410.00 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $308.10 | $151.79 – $410.00 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $310.08 | $247.87 – $316.30 |
| UPMC Muncy | Muncy, PA | $310.20 | $190.80 – $280.01 |
| UPMC Williamsport | Williamsport, PA | $310.20 | $190.80 – $289.14 |
| Allen Hospital | Oberlin, OH | $310.20 | not published |
| Providence Holy Family Hospital | Spokane, WA | $310.80 | $233.23 – $1,306.57 |
| West Virginia University Hospitals | Morgantown, WV | $311.00 | $138.96 – $905.68 |
| ADVENTIST HEALTH DELANO | Delano, CA | $313.60 | $152.65 – $535.86 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $313.95 | $196.99 – $764.88 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $315.20 | $219.26 – $669.80 |
| St Jude Medical Center | Fullerton, CA | $315.36 | $211.93 – $461.26 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $315.36 | $211.93 – $461.26 |
| Lincoln Health | Damariscotta, ME | $315.85 | $120.02 – $296.90 |
| Spring Harbor Hospital | Westbrook, ME | $318.30 | $223.55 – $463.62 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $318.96 | $190.00 – $481.38 |
| Henry Ford Rochester Hospital | Rochester, MI | $319.13 | $116.38 – $572.53 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $320.34 | $217.22 – $552.93 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $320.34 | $217.22 – $552.93 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $324.00 | $126.93 – $392.38 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $324.00 | $126.93 – $392.38 |
| Middlesboro ARH Hospital | Middlesboro, KY | $324.60 | $215.57 – $215.57 |
| Providence Medford Medical Center | Medford, OR | $324.75 | $180.78 – $451.94 |
| O'Bleness Hospital | Athens, OH | $325.00 | $217.95 – $220.13 |
| Sentara Leigh Hospital | Norfolk, VA | $328.50 | $228.00 – $235.94 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $328.50 | $227.00 – $235.94 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $328.50 | $228.00 – $235.94 |
| Sentara Obici Hospital | Suffolk, VA | $328.50 | $228.00 – $387.82 |
| Sentara CarePlex Hospital | Hampton, VA | $328.50 | $228.00 – $235.94 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $328.50 | $216.55 – $235.94 |
| Sentara Norfolk General Hospital | Norfolk, VA | $328.50 | $228.00 – $235.94 |
| UPMC Western Maryland | Cumberland, MD | $334.80 | $558.00 – $558.00 |
| Sanford Wheaton | Wheaton, MN | $337.60 | $102.17 – $379.80 |
| Ogallala Community Hospital | Ogallala, NE | $339.60 | $176.00 – $388.00 |
| Aurora Baycare Medical Center | Green Bay, WI | $340.00 | not published |
| Aurora Medical Center Bay Area | Marinette, WI | $340.00 | not published |
| Aurora Medical Center Burlington | Burlington, WI | $340.00 | not published |
| Aurora Medical Center Grafton | Grafton, WI | $340.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $340.00 | not published |
| Aurora Medical Center Kenosha | Kenosha, WI | $340.00 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $340.00 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $340.00 | not published |