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

Speech sound and language evaluation

CPT 92523the billing code this page is about

A combined evaluation of how clearly a person produces speech sounds and how well they understand and use language.

Hospitals typically charge $343 cash for this outpatient procedure — the median across 3,294 hospitals that filed a usable cash price; the average of the middle 60% is $362. Most fall between $206 and $587 (20th–80th percentile).

Hospitals
3,294
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 3,294 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
$148$227$343$525$792

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($148 vs $792).

How the prices are spread

$114 – $142: 116 hospitals$114$142 – $176: 193 hospitals$176 – $219: 287 hospitals$176$219 – $272: 371 hospitals$272 – $339: 473 hospitals$272$339 – $421: 443 hospitals$421 – $524: 419 hospitals$421$524 – $651: 286 hospitals$651 – $810: 239 hospitals$651$810 – $1,007: 139 hospitals$810median $343price bands are equal on a log scale
Hospitals per price band (2,966 of 3,294 — the bands cover the 5th to 95th percentile)
FromToHospitals
$114$142116
$142$176193
$176$219287
$219$272371
$272$339473
$339$421443
$421$524419
$524$651286
$651$810239
$810$1,007139

By state

The median cash price in each state, against the national median of $343.

Alaska: median $654 across 19 hospitalsAK$654Maine: median $316 across 27 hospitalsME$316Vermont: median $382 across 14 hospitalsVT$382New Hampshire: median $260 across 22 hospitalsNH$260Washington: median $380 across 66 hospitalsWA$380Idaho: median $442 across 23 hospitalsID$442Montana: median $365 across 27 hospitalsMT$365North Dakota: median $572 across 27 hospitalsND$572Minnesota: median $329 across 105 hospitalsMN$329Illinois: median $403 across 130 hospitalsIL$403Wisconsin: median $380 across 101 hospitalsWI$380Michigan: median $400 across 96 hospitalsMI$400New York: median $393 across 102 hospitalsNY$393Massachusetts: median $671 across 52 hospitalsMA$671Oregon: median $324 across 54 hospitalsOR$324Nevada: median $281 across 18 hospitalsNV$281Wyoming: median $276 across 12 hospitalsWY$276South Dakota: median $431 across 42 hospitalsSD$431Iowa: median $310 across 92 hospitalsIA$310Indiana: median $228 across 90 hospitalsIN$228Ohio: median $324 across 141 hospitalsOH$324Pennsylvania: median $398 across 123 hospitalsPA$398New Jersey: median $292 across 44 hospitalsNJ$292Connecticut: median $680 across 23 hospitalsCT$680Rhode Island: median $314 across 10 hospitalsRI$314California: median $472 across 192 hospitalsCA$472Utah: median $518 across 38 hospitalsUT$518Colorado: median $347 across 68 hospitalsCO$347Nebraska: median $340 across 81 hospitalsNE$340Missouri: median $257 across 83 hospitalsMO$257Kentucky: median $365 across 68 hospitalsKY$365West Virginia: median $300 across 36 hospitalsWV$300Virginia: median $426 across 71 hospitalsVA$426Maryland: median $578 across 41 hospitalsMD$578Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $258 across 49 hospitalsAZ$258New Mexico: median $347 across 29 hospitalsNM$347Kansas: median $225 across 85 hospitalsKS$225Arkansas: median $167 across 32 hospitalsAR$167Tennessee: median $186 across 82 hospitalsTN$186North Carolina: median $294 across 94 hospitalsNC$294South Carolina: median $433 across 51 hospitalsSC$433Oklahoma: median $200 across 68 hospitalsOK$200Louisiana: median $209 across 51 hospitalsLA$209Mississippi: median $188 across 57 hospitalsMS$188Alabama: median $289 across 38 hospitalsAL$289Georgia: median $276 across 108 hospitalsGA$276Hawaii: median $379 across 18 hospitalsHI$379Texas: median $404 across 219 hospitalsTX$404Florida: median $516 across 168 hospitalsFL$516
Cash price by state, most expensive first. National median $343. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT23$680+98%$315 – $948
Massachusetts MA52$671+96%$438 – $796
Alaska AK19$654+91%$369 – $867
Maryland MD41$578+69%$404 – $719
North Dakota ND27$572+67%$389 – $840
Utah UT38$518+51%$353 – $648
Florida FL168$516+51%$270 – $1,093
California CA192$472+38%$274 – $756
Idaho ID23$442+29%$313 – $564
South Carolina SC51$433+26%$257 – $500
South Dakota SD42$431+26%$373 – $539
Virginia VA71$426+24%$259 – $727
Texas TX219$404+18%$206 – $631
Illinois IL130$403+17%$146 – $564
Michigan MI96$400+17%$247 – $557
Pennsylvania PA123$398+16%$268 – $783
New York NY102$393+15%$250 – $717
Vermont VT14$382+12%$274 – $563
Washington WA66$380+11%$265 – $515
Wisconsin WI101$380+11%$301 – $645
Hawaii HI18$379+11%$263 – $595
Kentucky KY68$365+7%$231 – $634
Montana MT27$365+7%$279 – $518
Colorado CO68$347+1%$225 – $479
New Mexico NM29$347+1%$217 – $538
Nebraska NE81$340−1%$280 – $472
Minnesota MN105$329−4%$254 – $496
Ohio OH141$324−6%$227 – $503
Oregon OR54$324−6%$262 – $516
Maine ME27$316−8%$198 – $475
Rhode Island RI10$314−8%$168 – $693
Iowa IA92$310−9%$233 – $450
West Virginia WV36$300−13%$195 – $403
North Carolina NC94$294−14%$179 – $376
New Jersey NJ44$292−15%$250 – $787
Alabama AL38$289−16%$205 – $471
Nevada NV18$281−18%$206 – $1,096
Georgia GA108$276−19%$197 – $408
Wyoming WY12$276−19%$229 – $578
New Hampshire NH22$260−24%$189 – $748
Arizona AZ49$258−25%$114 – $973
Missouri MO83$257−25%$133 – $400
Indiana IN90$228−33%$129 – $304
Kansas KS85$225−34%$148 – $334
Louisiana LA51$209−39%$125 – $344
Oklahoma OK68$200−42%$142 – $346
Mississippi MS57$188−45%$144 – $253
Tennessee TN82$186−46%$98 – $371
Arkansas AR32$167−51%$113 – $360
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 $343.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,306$342$206 – $640
Children’s73$462$211 – $695
Critical access905$346$206 – $518
Ownership
For-profit446$423$227 – $1,019
Government607$319$197 – $481
Non-profit2,231$343$202 – $564
System affiliation
Part of a system2,687$347$206 – $607
Independent607$331$199 – $538

Cash price vs list price

Median list price (chargemaster)$591
Median cash price$343
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

2,277 hospitals filed a usable inpatient cash price for this code. The median is $353 and the average of the middle 60% is $367; most fall between $213 and $576.

Cash price percentiles, inpatient, across 2,277 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
$152$238$353$518$734

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($152 vs $734).

Of the 2,408 hospitals that filed this code inpatient, 2,277 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 106 a list price only.

How complete is this

3,294 of the 3,956 hospitals with a price file in our corpus (83%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,482 hospitals that filed this code at all gave us
Usable cash price — counted3,294
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded136
Hospitals that filed this code3,482

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 Eval Speech Sound Product Language Comprehension.

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, “Speech sound and language evaluation (CPT 92523) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92523-speech-sound-and-language-evaluation