Speech evaluation cost in Austin, TX
In Austin-Round Rock-San Marcos, TX, 23 hospitals list a cash price for speech and language evaluation: from $84.69 to $1,326.00, with a median of $491.24. The lowest listed price is at Ascension Seton Smithville and 1 other hospital — $406.55 less than the median here. Across Texas, the median is $380.08 at 200 hospitals.
- The median here, $491.24, is 44% above the US median of $340.80.
- That is 2.2× Medicare's 2026 national rate for the same service ($226.46).
- Austin, TX ranks 3rd of 4 metro areas in Texas by median, cheapest first.
- 7 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 23 facilities across 12 cities for code 92523, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 30, 2026.
Lowest$84.69Ascension Seton Smithville + 1 more
Median$491.24half of hospitals charge less
Highest$1,326.00in this market
Difference15.7×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Austin-Round Rock-San Marcos, TX.
median
Lowest $84.69Highest $1,326.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension Seton Smithville lowest Smithville, TX · (512) 237-3214 ST RE EVAL File of Jan 1, 2026 · source file | $84.69 | $235.25 | $190.66–$202.48 | 64% |
| Ascension Seton Hays lowest Kyle, TX · (512) 324-5000 ST RE EVAL File of Jan 1, 2026 · source file | $84.69 | $235.25 | $190.66–$202.48 | 64% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 EVAL OF SPEECH SOUND PRODUCTIO+1 more line at this price File of Jan 1, 2026 · source file | $154.35 | $428.75 | $190.66–$394.53 | 64% |
| Ascension Seton Austin, TX ST RE EVAL File of Jan 1, 2026 · source file | $164.68 | $235.25 | $190.66–$202.48 | 30% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 EVAL SPEECH SOUND PROD AND LA+1 more line at this price File of Jan 1, 2026 · source file | $218.16 | $606.00 | $190.66–$394.53 | 64% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 SOUND LANG COMPREHEN LVL 4+15 more lines at this price File of Jan 1, 2026 · source file | $281.97 | $783.25 | $190.66–$748.73 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 SOUND LANG COMPREHEN LVL 5+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 SOUND LANG COMPREHEN LVL 4+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 SOUND LANG COMPREHEN LVL 4+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 SOUND LANG COMPREHEN LVL 1+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 SOUND LANG COMPREHEN LVL 1+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 SOUND LANG COMPREHEN LVL 1+15 more lines at this price File of Jan 1, 2026 · source file | $285.66 | $793.50 | $190.66–$748.73 | 64% |
| Warm Springs Rehabilitation Hospital of Kyle Kyle, TX Eval of speech/language comp File of Aug 6, 2026 · source file | $430.95 | $430.95 | $70.00–$438.44 | — |
| Baylor Scott & White Medical Center - Lakeway Lakeway, TX · (512) 509-0401 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 90 MIN (92523)+7 more lines at this price File of Jun 13, 2026 · source file | $491.24 | $818.73 | $112.00–$736.86 | 40% |
| Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)+7 more lines at this price File of Jun 13, 2026 · source file | $491.24 | $818.73 | $98.25–$736.75 | 40% |
| Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)+7 more lines at this price File of Jun 13, 2026 · source file | $491.24 | $818.73 | $112.00–$736.86 | 40% |
| Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)+7 more lines at this price File of Jun 13, 2026 · source file | $491.24 | $818.73 | $112.00–$736.75 | 40% |
| Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)+7 more lines at this price File of Jun 13, 2026 · source file | $491.24 | $818.73 | $90.06–$736.86 | 40% |
| Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX · (512) 509-0401 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)+7 more lines at this price File of Jun 3, 2026 · source file | $491.24 | $818.73 | $450.30–$532.17 | 40% |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 120 MIN (92523)+7 more lines at this price File of Oct 30, 2026 · source file | $510.89 | $851.48 | $118.00–$762.70 | 40% |
| Ascension Cedar Park Cedar Park, TX · (512) 528-7000 EVAL SP SND PROD CMP+1 more line at this price File of Jan 1, 2026 · source file | $540.60 | $1,501.68 | $190.66–$828.59 | 64% |
| Ascension Seton Austin, TX SOUND LANG COMPREHEN LVL 3+15 more lines at this price File of Jan 1, 2026 · source file | $555.45 | $793.50 | $190.66–$748.73 | 30% |
| St. David's South Austin Medical Center Bastrop, TX · (512) 448-7107 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) File of Sep 1, 2026 · source file | $591.00 | $591.00 | $117.22–$1,557.32 | — |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) File of Sep 1, 2026 · source file | $734.00 | $734.00 | $117.22–$1,557.32 | — |
| Pam Specialty Hospital of Luling Luling, TX Eval of speech/language comp File of Aug 6, 2026 · source file | $933.25 | $933.25 | $70.00–$839.93 | — |
| PAM Rehabilitation Hospital of Round Rock Round Rock, TX Eval of speech/language comp File of Aug 6, 2026 · source file | $933.25 | $933.25 | $70.00–$839.93 | — |
| St.davids Surgical Hospital Austin, TX Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) File of Sep 1, 2026 · source file | $1,326.00 | $1,326.00 | $225.38–$1,557.32 | — |
| St. David's North Austin Medical Center Austin, TX · (512) 901-1000 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) File of Sep 1, 2026 · source file | $1,326.00 | $1,326.00 | $117.22–$1,557.32 | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $84.69, median $491.24, highest $1,326.00 — a 15.7× difference within the same market.
As an inpatient, the same code is billed by 19 facilities here, median $491.24. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 21 of 23 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What speech evaluation is, what the price covers and why prices differ: Speech evaluation explained.