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Procedure price report · Diagnostic physical, occupational, and speech therapy

Evaluation of speech sound production

CPT 92522the billing code this page is about

A speech evaluation of how clearly a person forms speech sounds, such as in articulation or motor speech problems.

Hospitals typically charge $246 cash for this outpatient procedure — the median across 3,145 hospitals that filed a usable cash price; the average of the middle 60% is $255. Most fall between $140 and $408 (20th–80th percentile).

Hospitals
3,145
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,145 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$103$156$246$372$559

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($103 vs $559).

How the prices are spread

$77 – $97: 124 hospitals$77$97 – $123: 205 hospitals$123 – $156: 301 hospitals$123$156 – $198: 355 hospitals$198 – $251: 475 hospitals$198$251 – $319: 446 hospitals$319 – $404: 435 hospitals$319$404 – $513: 270 hospitals$513 – $650: 145 hospitals$513$650 – $825: 79 hospitals$650median $246price bands are equal on a log scale
Hospitals per price band (2,835 of 3,145 — the bands cover the 5th to 95th percentile)
FromToHospitals
$77$97124
$97$123205
$123$156301
$156$198355
$198$251475
$251$319446
$319$404435
$404$513270
$513$650145
$650$82579

By state

The median cash price in each state, against the national median of $246.

Alaska: median $535 across 18 hospitalsAK$535Maine: median $231 across 28 hospitalsME$231Vermont: median $264 across 14 hospitalsVT$264New Hampshire: median $249 across 21 hospitalsNH$249Washington: median $258 across 60 hospitalsWA$258Idaho: median $274 across 24 hospitalsID$274Montana: median $225 across 22 hospitalsMT$225North Dakota: median $337 across 25 hospitalsND$337Minnesota: median $282 across 101 hospitalsMN$282Illinois: median $293 across 123 hospitalsIL$293Wisconsin: median $257 across 100 hospitalsWI$257Michigan: median $220 across 93 hospitalsMI$220New York: median $259 across 96 hospitalsNY$259Massachusetts: median $435 across 47 hospitalsMA$435Oregon: median $278 across 52 hospitalsOR$278Nevada: median $226 across 18 hospitalsNV$226Wyoming: median $254 across 12 hospitalsWY$254South Dakota: median $350 across 32 hospitalsSD$350Iowa: median $232 across 90 hospitalsIA$232Indiana: median $157 across 89 hospitalsIN$157Ohio: median $267 across 139 hospitalsOH$267Pennsylvania: median $317 across 124 hospitalsPA$317New Jersey: median $143 across 44 hospitalsNJ$143Connecticut: median $335 across 23 hospitalsCT$335Rhode Island: median $314 across 10 hospitalsRI$314California: median $337 across 179 hospitalsCA$337Utah: median $297 across 33 hospitalsUT$297Colorado: median $239 across 68 hospitalsCO$239Nebraska: median $274 across 73 hospitalsNE$274Missouri: median $168 across 75 hospitalsMO$168Kentucky: median $250 across 65 hospitalsKY$250West Virginia: median $185 across 34 hospitalsWV$185Virginia: median $233 across 70 hospitalsVA$233Maryland: median $259 across 38 hospitalsMD$259Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $168 across 48 hospitalsAZ$168New Mexico: median $237 across 28 hospitalsNM$237Kansas: median $198 across 78 hospitalsKS$198Arkansas: median $164 across 29 hospitalsAR$164Tennessee: median $110 across 70 hospitalsTN$110North Carolina: median $190 across 93 hospitalsNC$190South Carolina: median $332 across 52 hospitalsSC$332Oklahoma: median $151 across 62 hospitalsOK$151Louisiana: median $136 across 50 hospitalsLA$136Mississippi: median $110 across 57 hospitalsMS$110Alabama: median $158 across 38 hospitalsAL$158Georgia: median $163 across 101 hospitalsGA$163Hawaii: median $319 across 17 hospitalsHI$319Texas: median $308 across 210 hospitalsTX$308Florida: median $336 across 165 hospitalsFL$336
Cash price by state, most expensive first. National median $246. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alaska AK18$535+117%$286 – $726
Massachusetts MA47$435+77%$332 – $516
South Dakota SD32$350+42%$263 – $409
North Dakota ND25$337+37%$213 – $410
California CA179$337+37%$198 – $672
Florida FL165$336+36%$163 – $807
Connecticut CT23$335+36%$195 – $460
South Carolina SC52$332+35%$221 – $474
Hawaii HI17$319+30%$219 – $432
Pennsylvania PA124$317+29%$147 – $414
Rhode Island RI10$314+28%$168 – $559
Texas TX210$308+25%$195 – $510
Utah UT33$297+21%$253 – $372
Illinois IL123$293+19%$156 – $492
Minnesota MN101$282+14%$212 – $364
Oregon OR52$278+13%$167 – $365
Idaho ID24$274+11%$207 – $314
Nebraska NE73$274+11%$172 – $348
Ohio OH139$267+9%$140 – $372
Vermont VT14$264+7%$184 – $476
New York NY96$259+5%$122 – $404
Maryland MD38$259+5%$198 – $353
Washington WA60$258+5%$128 – $384
Wisconsin WI100$257+5%$225 – $393
Wyoming WY12$254+3%$149 – $359
Kentucky KY65$250+2%$176 – $431
New Hampshire NH21$249+1%$95 – $576
Colorado CO68$239−3%$147 – $393
New Mexico NM28$237−4%$158 – $418
Virginia VA70$233−5%$181 – $329
Iowa IA90$232−6%$168 – $333
Maine ME28$231−6%$107 – $382
Nevada NV18$226−8%$156 – $514
Montana MT22$225−9%$170 – $308
Michigan MI93$220−11%$140 – $364
Kansas KS78$198−19%$123 – $352
North Carolina NC93$190−23%$133 – $309
West Virginia WV34$185−25%$116 – $303
Arizona AZ48$168−32%$89 – $594
Missouri MO75$168−32%$106 – $332
Arkansas AR29$164−34%$52 – $228
Georgia GA101$163−34%$137 – $286
Alabama AL38$158−36%$105 – $271
Indiana IN89$157−36%$108 – $279
Oklahoma OK62$151−39%$69 – $208
New Jersey NJ44$143−42%$123 – $393
Louisiana LA50$136−45%$65 – $209
Tennessee TN70$110−55%$70 – $271
Mississippi MS57$110−55%$70 – $190
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $246.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,225$242$131 – $429
Children’s71$285$167 – $482
Critical access839$256$160 – $370
Ownership
For-profit412$312$157 – $878
Government563$223$133 – $338
Non-profit2,160$246$140 – $397
System affiliation
Part of a system2,574$249$140 – $416
Independent571$228$140 – $364

Cash price vs list price

Median list price (chargemaster)$405
Median cash price$246
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,186 hospitals filed a usable inpatient cash price for this code. The median is $253 and the average of the middle 60% is $260; most fall between $144 and $399.

Cash price percentiles, inpatient, across 2,186 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$102$159$253$372$505

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($102 vs $505).

Of the 2,306 hospitals that filed this code inpatient, 2,186 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 96 a list price only.

How complete is this

3,145 of the 3,956 hospitals with a price file in our corpus (79%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,320 hospitals that filed this code at all gave us
Usable cash price — counted3,145
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded126
Hospitals that filed this code3,320

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic physical, occupational, and speech therapy family.

Hospitals file this code under descriptions such as Evaluation of Speech Sound Production Articulate.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Evaluation of speech sound production (CPT 92522) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92522-evaluation-of-speech-sound-production