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 |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $340.00 | not published |
| Aurora Medical Center Summit | Summit, WI | $340.00 | not published |
| Aurora Medical Center Washington County | Hartford, WI | $340.00 | not published |
| Aurora West Allis Medical Center | West Allis, WI | $340.00 | not published |
| Sanford Vermillion Hospital | Vermillion, SD | $340.80 | $125.67 – $383.40 |
| Corewell Health Pennock | Hastings, MI | $341.00 | $120.64 – $120.64 |
| Corewell Health Big Rapids | Big Rapids, MI | $341.00 | $120.64 – $392.38 |
| Corewell Health Gerber | Fremont, MI | $341.00 | $120.64 – $120.64 |
| Corewell Health Reed City | Po Box 75, MI | $341.00 | $120.64 – $120.64 |
| Corewell Health Greenville | Greenville, MI | $341.00 | $120.64 – $392.38 |
| Corewell Health Zeeland | Zeeland, MI | $341.00 | $120.64 – $392.38 |
| Lorain Hospital | Lorain, OH | $341.40 | not published |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $342.00 | $226.92 – $442.49 |
| Houston Methodist West Hospital | Houston, TX | $342.00 | $226.92 – $907.68 |
| Houston Methodist Baytown Hospital | Baytown, TX | $342.00 | $226.92 – $442.49 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $342.00 | $226.92 – $442.49 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $342.00 | $226.92 – $442.49 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $342.00 | $226.92 – $453.84 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $342.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $342.00 | $226.92 – $442.49 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $342.60 | $292.08 – $292.08 |
| Providence St Joseph Medical Center | Polson, MT | $343.20 | not published |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $344.96 | $115.80 – $955.35 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $345.18 | $106.76 – $499.77 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $345.18 | $106.76 – $499.77 |
| HSHS St. Vincent Hospital | Green Bay, WI | $345.18 | $110.69 – $499.77 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $345.18 | $177.92 – $283.80 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $345.95 | $215.91 – $462.05 |
| Southside Regional Medical Center | Petersburg, VA | $346.50 | not published |
| Sterling Regional Medical Center | Sterling, CO | $347.20 | $111.60 – $388.00 |
| Morrow County Hospital | Mount Gilead, OH | $348.27 | $86.92 – $143.42 |
| UPMC Magee | Pittsburgh, PA | $348.60 | $138.75 – $444.58 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $348.64 | $211.20 – $371.05 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $348.84 | $260.19 – $265.50 |
| Berkeley Medical Center | Martinsburg, WV | $349.00 | $168.05 – $374.12 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $351.00 | $217.95 – $392.30 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $356.85 | $292.90 – $292.90 |
| Texas Health Hospital Rockwall | Rockwall, TX | $356.85 | $292.90 – $292.90 |
| Willard Hospital | Willard, OH | $358.20 | not published |
| Mercy Hospital Aurora | Aurora, MO | $358.80 | $49.44 – $303.36 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $362.95 | $249.33 – $461.26 |
| Adventhealth Palm Coast | Palm Coast, FL | $364.61 | $211.20 – $474.85 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $364.61 | not published |
| Providence Seaside Hospital | Seaside, OR | $365.25 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $365.75 | $166.59 – $222.12 |
| Massena Hospital | Massena, NY | $366.30 | $545.67 – $545.67 |
| AdventHealth Deland | Deland, FL | $367.06 | $211.20 – $443.37 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $369.75 | $217.95 – $435.89 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $372.30 | $265.50 – $265.50 |
| Potomac Valley Hospital | Keyser, WV | $373.50 | not published |