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

Non-speaking device evaluation, each extra 30 minutes

CPT 92618the billing code this page is about

Billed with the first hour of an evaluation for a non-speech-generating communication aid; each unit covers one further 30 minutes face to face.

Hospitals typically charge $110 cash for this outpatient procedure — the median across 398 hospitals that filed a usable cash price; the average of the middle 60% is $114. Most fall between $59 and $195 (20th–80th percentile).

Hospitals
398
States
48
Filings dated
Nov 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 398 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
$36$66$110$175$288

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($36 vs $288).

How the prices are spread

$29 – $37: 22 hospitals$29$37 – $47: 12 hospitals$47 – $61: 31 hospitals$47$61 – $78: 65 hospitals$78 – $100: 38 hospitals$78$100 – $129: 33 hospitals$129 – $166: 73 hospitals$129$166 – $213: 34 hospitals$213 – $274: 27 hospitals$213$274 – $353: 25 hospitals$274median $110price bands are equal on a log scale
Hospitals per price band (360 of 398 — the bands cover the 5th to 95th percentile)
FromToHospitals
$29$3722
$37$4712
$47$6131
$61$7865
$78$10038
$100$12933
$129$16673
$166$21334
$213$27427
$274$35325

By state

The median cash price in each state, against the national median of $110.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $129 across 12 hospitalsWA$129Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $147 across 14 hospitalsMN$147Illinois: median $75 across 18 hospitalsIL$75Wisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 2 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $128 across 17 hospitalsNY$128Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $90 across 14 hospitalsOR$90Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $75 across 18 hospitalsIA$75Indiana: median $82 across 28 hospitalsIN$82Ohio: median $133 across 14 hospitalsOH$133Pennsylvania: median $22 across 13 hospitalsPA$22New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $339 across 13 hospitalsCA$339Utah: median $157 across 12 hospitalsUT$157Colorado: median $163 across 16 hospitalsCO$163Nebraska: median $75 across 10 hospitalsNE$75Missouri: median $78 across 11 hospitalsMO$78Kentucky: median $195 across 13 hospitalsKY$195West Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: median $71 across 12 hospitalsMD$71Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $32 across 10 hospitalsTN$32North Carolina: median $83 across 18 hospitalsNC$83South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $205 across 21 hospitalsGA$205Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $176 across 13 hospitalsTX$176Florida: median $94 across 15 hospitalsFL$94
Cash price by state, most expensive first. National median $110. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA13$339+207%$195 – $948
Georgia GA21$205+85%$142 – $288
Kentucky KY13$195+76%$50 – $195
Texas TX13$176+60%$105 – $306
Colorado CO16$163+47%$98 – $235
Utah UT12$157+42%$157 – $157
Minnesota MN14$147+33%$118 – $162
Ohio OH14$133+20%$59 – $174
Washington WA12$129+17%$129 – $185
New York NY17$128+16%$71 – $233
Florida FL15$94−15%$50 – $137
Oregon OR14$90−18%$62 – $228
North Carolina NC18$83−25%$72 – $149
Indiana IN28$82−25%$62 – $124
Missouri MO11$78−30%$62 – $133
Iowa IA18$75−32%$75 – $76
Illinois IL18$75−32%$31 – $173
Nebraska NE10$75−32%$48 – $130
Maryland MD12$71−35%$55 – $104
Tennessee TN10$32−71%$30 – $32
Pennsylvania PA13$22−80%$20 – $33
Virginia VA9not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Michigan MI2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
West Virginia WV1not 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 $110.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care301$94$55 – $190
Children’s35$286$152 – $325
Critical access61$97$70 – $139
Ownership
For-profit29$112$31 – $353
Government59$135$70 – $195
Non-profit309$104$57 – $195
System affiliation
Part of a system325$104$56 – $190
Independent73$134$63 – $247

Cash price vs list price

Median list price (chargemaster)$206
Median cash price$110
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

270 hospitals filed a usable inpatient cash price for this code. The median is $121 and the average of the middle 60% is $116; most fall between $61 and $190.

Cash price percentiles, inpatient, across 270 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
$45$70$121$162$246

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($45 vs $246).

Of the 281 hospitals that filed this code inpatient, 270 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

398 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 449 hospitals that filed this code at all gave us
Usable cash price — counted398
Cash price carrying a plausibility flag — shown on the compare tool, excluded here5
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded46
Hospitals that filed this code449

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 EX FOR NONSPEECH DEV RX ADD.

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, “Non-speaking device evaluation, each extra 30 minutes (CPT 92618) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92618-non-speaking-device-evaluation-each-extra-30-minutes