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Procedure price report · Physical, occupational, and speech therapy exercises; manipulation; and other procedures

Training and programming for a speech-generating device

CPT 92609the billing code this page is about

Therapy session that includes programming or modifying a speech-generating communication device and teaching the patient to use it.

Hospitals typically charge $218 cash for this outpatient procedure — the median across 2,074 hospitals that filed a usable cash price; the average of the middle 60% is $225. Most fall between $123 and $362 (20th–80th percentile).

Hospitals
2,074
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 2,074 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
$95$139$218$324$457

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($95 vs $457).

How the prices are spread

$75 – $92: 74 hospitals$75$92 – $113: 177 hospitals$113 – $139: 168 hospitals$113$139 – $172: 210 hospitals$172 – $212: 275 hospitals$172$212 – $261: 277 hospitals$261 – $321: 257 hospitals$261$321 – $396: 210 hospitals$396 – $488: 148 hospitals$396$488 – $601: 74 hospitals$488median $218price bands are equal on a log scale
Hospitals per price band (1,870 of 2,074 — the bands cover the 5th to 95th percentile)
FromToHospitals
$75$9274
$92$113177
$113$139168
$139$172210
$172$212275
$212$261277
$261$321257
$321$396210
$396$488148
$488$60174

By state

The median cash price in each state, against the national median of $218.

Alaska: median $322 across 10 hospitalsAK$322Maine: median $103 across 18 hospitalsME$103Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $228 across 53 hospitalsWA$228Idaho: median $245 across 14 hospitalsID$245Montana: median $253 across 18 hospitalsMT$253North Dakota: median $298 across 14 hospitalsND$298Minnesota: median $240 across 80 hospitalsMN$240Illinois: median $267 across 85 hospitalsIL$267Wisconsin: median $277 across 72 hospitalsWI$277Michigan: median $229 across 58 hospitalsMI$229New York: median $227 across 76 hospitalsNY$227Massachusetts: median $329 across 25 hospitalsMA$329Oregon: median $245 across 42 hospitalsOR$245Nevada: median $172 across 11 hospitalsNV$172Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $205 across 14 hospitalsSD$205Iowa: median $185 across 55 hospitalsIA$185Indiana: median $151 across 62 hospitalsIN$151Ohio: median $240 across 124 hospitalsOH$240Pennsylvania: median $263 across 76 hospitalsPA$263New Jersey: median $141 across 33 hospitalsNJ$141Connecticut: median $285 across 12 hospitalsCT$285Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $289 across 116 hospitalsCA$289Utah: median $223 across 17 hospitalsUT$223Colorado: median $221 across 49 hospitalsCO$221Nebraska: median $221 across 39 hospitalsNE$221Missouri: median $164 across 46 hospitalsMO$164Kentucky: median $178 across 34 hospitalsKY$178West Virginia: median $198 across 17 hospitalsWV$198Virginia: median $195 across 44 hospitalsVA$195Maryland: median $299 across 30 hospitalsMD$299Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $190 across 33 hospitalsAZ$190New Mexico: median $174 across 17 hospitalsNM$174Kansas: median $121 across 28 hospitalsKS$121Arkansas: median $109 across 17 hospitalsAR$109Tennessee: median $93 across 45 hospitalsTN$93North Carolina: median $168 across 62 hospitalsNC$168South Carolina: median $282 across 44 hospitalsSC$282Oklahoma: median $111 across 45 hospitalsOK$111Louisiana: median $107 across 35 hospitalsLA$107Mississippi: median $113 across 29 hospitalsMS$113Alabama: median $144 across 19 hospitalsAL$144Georgia: median $129 across 71 hospitalsGA$129Hawaii: median $256 across 15 hospitalsHI$256Texas: median $228 across 139 hospitalsTX$228Florida: median $253 across 99 hospitalsFL$253
Cash price by state, most expensive first. National median $218. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA25$329+51%$182 – $458
Alaska AK10$322+48%$167 – $498
Maryland MD30$299+37%$199 – $407
North Dakota ND14$298+37%$225 – $385
California CA116$289+33%$181 – $375
Connecticut CT12$285+31%$200 – $433
South Carolina SC44$282+30%$124 – $317
Wisconsin WI72$277+27%$215 – $349
Illinois IL85$267+23%$137 – $382
Pennsylvania PA76$263+21%$150 – $443
Hawaii HI15$256+17%$115 – $382
Florida FL99$253+17%$162 – $524
Montana MT18$253+16%$198 – $318
Idaho ID14$245+13%$191 – $253
Oregon OR42$245+13%$203 – $350
Minnesota MN80$240+11%$188 – $266
Ohio OH124$240+10%$156 – $365
Michigan MI58$229+5%$183 – $386
Texas TX139$228+5%$112 – $324
Washington WA53$228+5%$166 – $344
New York NY76$227+4%$115 – $571
Utah UT17$223+3%$217 – $223
Nebraska NE39$221+1%$130 – $309
Colorado CO49$221+1%$154 – $446
South Dakota SD14$205−6%$205 – $311
West Virginia WV17$198−9%$135 – $277
Virginia VA44$195−11%$138 – $331
Arizona AZ33$190−13%$85 – $690
Iowa IA55$185−15%$108 – $268
Kentucky KY34$178−18%$150 – $765
New Mexico NM17$174−20%$116 – $258
Nevada NV11$172−21%$123 – $537
North Carolina NC62$168−23%$120 – $198
Missouri MO46$164−25%$115 – $305
Indiana IN62$151−31%$83 – $252
Alabama AL19$144−34%$95 – $204
New Jersey NJ33$141−35%$129 – $502
Georgia GA71$129−41%$99 – $396
Kansas KS28$121−44%$97 – $296
Mississippi MS29$113−48%$85 – $170
Oklahoma OK45$111−49%$66 – $204
Arkansas AR17$109−50%$94 – $152
Louisiana LA35$107−51%$64 – $204
Maine ME18$103−53%$90 – $276
Tennessee TN45$93−57%$55 – $184
New Hampshire NH7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Delaware DE5not 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 $218.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,568$217$121 – $366
Children’s56$338$146 – $508
Critical access445$215$120 – $320
Ownership
For-profit201$249$121 – $544
Government364$188$111 – $271
Non-profit1,504$223$129 – $365
System affiliation
Part of a system1,726$222$121 – $365
Independent348$196$127 – $316

Cash price vs list price

Median list price (chargemaster)$377
Median cash price$218
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

1,490 hospitals filed a usable inpatient cash price for this code. The median is $223 and the average of the middle 60% is $233; most fall between $134 and $356.

Cash price percentiles, inpatient, across 1,490 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
$96$150$223$326$442

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($96 vs $442).

Of the 1,585 hospitals that filed this code inpatient, 1,490 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

2,074 of the 3,956 hospitals with a price file in our corpus (52%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,199 hospitals that filed this code at all gave us
Usable cash price — counted2,074
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded89
Hospitals that filed this code2,199

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 Physical, occupational, and speech therapy exercises; manipulation; and other procedures family.

Hospitals file this code under descriptions such as Ther Sp-Genratj Dev Prgrmg&Modificaj.

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, “Training and programming for a speech-generating device (CPT 92609) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92609-training-and-programming-for-a-speech-generating-device