Speech evaluation cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 17 hospitals list a cash price for speech and language evaluation: from $58.23 to $1,293.70, with a median of $408.94. The lowest listed price is at Saint Thomas Rutherford Hospital and 1 other hospital — $350.71 less than the median here. Across Tennessee, the median is $185.85 at 66 hospitals.
- The median here, $408.94, is 20% above the US median of $340.80.
- That is 1.8× Medicare's 2026 national rate for the same service ($226.46).
- Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
- 8 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 17 facilities across 15 cities for code 92523, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Saint Thomas Rutherford Hospital lowest Murfreesboro, TN · (615) 396-4100 BD ST EVALUATION 15 MIN File of Jan 1, 2026 · source file | $58.23 | $194.10 | $159.52 | 70% |
| Saint Thomas West Hospital lowest Harding Pk Nashville, TN · (615) 222-2111 BD ST EVALUATION 15 MIN File of Jan 1, 2026 · source file | $58.23 | $194.10 | $159.52 | 70% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 CL ST EVAL VOICE/LANGUAGE+1 more line at this price File of Jan 1, 2026 · source file | $146.49 | $488.30 | $159.52–$457.73 | 70% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 SP/EVAL SND W/ LANG EVAL+1 more line at this price File of Jul 1, 2026 · source file | $148.26 | $494.20 | $159.52–$421.11 | 70% |
| Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 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 Jul 10, 2026 · source file | $225.44 | $967.54 | $591.06 | 77% |
| Riverview Regional Medical Center Carthage, TN · (615) 735-9815 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 Jul 10, 2026 · source file | $262.74 | $805.94 | $128.95–$805.94 | 67% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC ST SPEECH EVAL COMPREHENSIO File of Oct 1, 2026 · source file | $276.66 | $954.00 | — | 71% |
| Williamson Medical Center Franklin, TN · (615) 435-5000 EVAL OF SPEECH SOUND W/EV LANG File of Aug 1, 2026 · source file | $291.50 | $517.00 | $208.35–$491.15 | 44% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 SLP Eval of Speech Sound Prod Units+2 more lines at this price File of Sep 1, 2026 · source file | $332.40 | $554.00 | — | 40% |
| Trousdale Medical Center Hartsville, TN · (615) 374-2221 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 Jul 10, 2026 · source file | $408.94 | $806.59 | $88.00 | 49% |
| Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 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 | $535.56 | $535.56 | $462.27 | — |
| Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 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 | $727.13 | $727.13 | $462.27 | — |
| Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 SP/EVAL W/ LANG NONTHP File of Sep 1, 2026 · source file | $909.05 | $909.05 | $154.54–$836.33 | — |
| Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 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 | $920.00 | $920.00 | $462.27 | — |
| Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 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 | $928.13 | $928.13 | $462.27 | — |
| Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 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 | $1,071.40 | $1,071.40 | $462.27 | — |
| Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 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 | $1,102.15 | $1,102.15 | $462.27 | — |
| Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 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 | $1,293.70 | $1,293.70 | $462.27 | — |
Outpatient: lowest $58.23, median $408.94, highest $1,293.70 — a 22.2× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $276.66. 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 6 of 15 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.