Evaluation of speech sound production with evaluation of language comprehension and expression
Medicare pricing data for 3,705 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Evaluation of speech sound production with evaluation of language comprehension and expression (HCPCS code 92523) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $224.79, but hospitals typically charge $352.06 — a 1.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $224.79, your out-of-pocket cost would be approximately $44.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $175.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $265 | $553 | 12 | 93 | +17.8% |
| New Jersey | $242 | $324 | 194 | 2,850 | +7.9% |
| New York | $241 | $363 | 304 | 3,977 | +7.1% |
| District of Columbia | $240 | $307 | 10 | 66 | +6.8% |
| Connecticut | $239 | $327 | 21 | 219 | +6.4% |
| Hawaii | $237 | $349 | 12 | 133 | +5.3% |
| Rhode Island | $235 | $326 | 10 | 83 | +4.5% |
| Massachusetts | $234 | $328 | 41 | 393 | +4.0% |
| California | $234 | $419 | 188 | 1,147 | +3.9% |
| Washington | $232 | $403 | 51 | 454 | +3.3% |
| Delaware | $232 | $327 | 16 | 341 | +3.0% |
| Maryland | $231 | $318 | 84 | 953 | +2.9% |
| New Hampshire | $230 | $313 | 9 | 81 | +2.3% |
| Pennsylvania | $230 | $331 | 151 | 2,326 | +2.3% |
| Virginia | $227 | $334 | 112 | 1,304 | +1.0% |
| Montana | $226 | $367 | 19 | 84 | +0.6% |
| Oregon | $226 | $360 | 26 | 111 | +0.3% |
| North Dakota | $226 | $365 | 23 | 149 | +0.3% |
| Maine | $225 | $334 | 17 | 218 | +0.3% |
| Wyoming | $225 | $266 | 13 | 131 | +0.3% |
| New Mexico | $225 | $333 | 15 | 57 | -0.1% |
| Minnesota | $224 | $469 | 68 | 558 | -0.4% |
| South Dakota | $224 | $375 | 7 | 67 | -0.5% |
| Texas | $223 | $336 | 229 | 1,779 | -0.8% |
| Illinois | $222 | $361 | 164 | 1,940 | -1.1% |
| Colorado | $221 | $327 | 100 | 742 | -1.5% |
| Georgia | $221 | $335 | 108 | 1,015 | -1.9% |
| Puerto Rico | $219 | $242 | 7 | 22 | -2.4% |
| Wisconsin | $218 | $360 | 76 | 804 | -2.9% |
| Louisiana | $218 | $293 | 45 | 269 | -2.9% |
| Missouri | $218 | $395 | 80 | 1,068 | -3.0% |
| Michigan | $218 | $347 | 101 | 609 | -3.2% |
| Florida | $217 | $330 | 299 | 3,360 | -3.3% |
| Ohio | $217 | $322 | 115 | 1,215 | -3.4% |
| Arizona | $216 | $347 | 54 | 386 | -3.8% |
| South Carolina | $216 | $313 | 83 | 1,278 | -3.9% |
| Utah | $216 | $427 | 31 | 121 | -4.1% |
| Tennessee | $215 | $338 | 93 | 989 | -4.5% |
| Alabama | $215 | $314 | 37 | 316 | -4.6% |
| Kansas | $214 | $353 | 56 | 589 | -4.6% |
| Indiana | $214 | $350 | 100 | 933 | -4.6% |
| North Carolina | $214 | $324 | 111 | 774 | -4.8% |
| Nevada | $214 | $853 | 37 | 563 | -4.8% |
| West Virginia | $214 | $288 | 29 | 232 | -4.8% |
| Iowa | $212 | $357 | 44 | 320 | -5.5% |
| Kentucky | $212 | $342 | 78 | 734 | -5.5% |
| Oklahoma | $212 | $318 | 44 | 284 | -5.6% |
| Vermont | $212 | $231 | 4 | 16 | -5.8% |
| Nebraska | $211 | $352 | 64 | 421 | -6.3% |
| Idaho | $210 | $279 | 25 | 62 | -6.4% |
| Mississippi | $210 | $289 | 39 | 375 | -6.4% |
| Arkansas | $210 | $350 | 42 | 466 | -6.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber