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 |
|---|---|---|---|
| MUSC Health Florence Medical Center | Florence, SC | $373.50 | $177.48 – $240.87 |
| Grant Memorial Hospital | Petersburg, WV | $374.40 | not published |
| UPMC Wellsboro | Wellsboro, PA | $375.20 | $190.80 – $261.75 |
| Adventhealth Fish Memorial | Orange City, FL | $375.30 | $211.20 – $423.12 |
| Atrium Health Anson | Wadesboro, NC | $376.23 | $112.57 – $714.83 |
| Atrium Health Mercy | Charlotte, NC | $376.23 | $153.07 – $692.25 |
| Atrium Health Pineville | Charlotte, NC | $376.23 | $75.25 – $692.25 |
| Atrium Health Stanly | Albermarle, NC | $376.23 | $90.29 – $722.35 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $376.23 | $142.97 – $662.16 |
| Atrium Health Cleveland | Shelby, NC | $376.23 | $105.34 – $714.83 |
| Atrium Health Cabarrus | Concord, NC | $376.23 | $92.33 – $714.83 |
| Atrium Health Lincoln | Lincolnton, NC | $376.23 | $84.88 – $714.83 |
| Atrium Health Union | Monroe, NC | $376.23 | $97.82 – $714.83 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $376.23 | $154.60 – $692.25 |
| Atrium Health University City | Charlotte, NC | $376.23 | $75.25 – $692.25 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $376.23 | $153.07 – $677.21 |
| AdventHealth Parker | Parker, CO | $376.84 | $229.51 – $433.25 |
| AdventHealth Littleton | Littleton, CO | $376.84 | $229.51 – $433.25 |
| AdventHealth Porter | Denver, CO | $376.84 | $229.51 – $433.25 |
| AdventHealth Avista | Louisville, CO | $376.84 | $229.51 – $433.25 |
| AdventHealth Castle Rock | Castle Rock, CO | $376.84 | $229.51 – $433.25 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $377.00 | $217.99 – $326.98 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $377.00 | $215.79 – $326.98 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $380.00 | $50.00 – $342.00 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $380.00 | $42.20 – $56.80 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $381.60 | not published |
| Advocate Condell Medical Center | Libertyville, IL | $382.50 | $51.22 – $619.32 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $384.80 | $50.00 – $378.46 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $384.80 | $50.00 – $378.46 |
| Parkview Bryan Hospital | Bryan, OH | $385.00 | $217.95 – $653.85 |
| Parkview Montpelier Hospital | Montpelier, OH | $385.00 | not published |
| Central Medical Center | Seattle, WA | $386.40 | not published |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $387.00 | $102.87 – $464.40 |
| University Hospitals Elyria Medical Center | Elyria, OH | $387.00 | $217.95 – $392.30 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $387.00 | $217.95 – $392.30 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $387.00 | $124.23 – $392.30 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $387.00 | $217.95 – $392.30 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $387.00 | $217.95 – $392.30 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $387.00 | $217.95 – $392.30 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $387.00 | $114.04 – $464.40 |
| Providence St Mary Medical Center | Walla Walla, WA | $387.80 | $228.00 – $431.48 |
| Redwood Memorial Hospital | Fortuna, CA | $389.64 | not published |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $389.80 | $44.00 – $953.27 |
| UPMC Presbyterian | Pittsburgh, PA | $393.00 | $138.75 – $718.81 |
| Providence Saint John's Health Center | Santa Monica, CA | $395.50 | $249.33 – $486.84 |
| Mercy Hospital Stoddard | Dexter, MO | $399.75 | $196.99 – $749.04 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $400.80 | $50.00 – $378.46 |
| UPMC Horizon-Greenville | Greenville, PA | $404.40 | $222.23 – $444.58 |
| UPMC Northwest | Seneca, PA | $404.40 | $261.75 – $537.99 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $406.20 | $218.13 – $222.49 |