Speech evaluation cost in St. Louis, MO
In St. Louis, MO-IL, 12 hospitals list a cash price for speech and language evaluation: from $95.55 to $468.72, with a median of $208.38. The lowest listed price is at Mercy Hospital Jefferson and 1 other hospital — $112.83 less than the median here. Across Missouri, the median is $163.80 at 23 hospitals.
Cash prices at 12 facilities across 10 cities for code 92523, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 24, 2026 and Jun 12, 2026.
Lowest$95.55Mercy Hospital Jefferson + 1 more
Median$208.38half pay less
Highest$468.72in this market
Difference4.9×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 St. Louis, MO-IL.
median
Lowest $95.55Highest $666.25
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital Jefferson lowest Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $95.55 | $147.00 | $9.56–$147.00 | 35% | — source file |
| Mercy Hospital Washington lowest Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $95.55 | $147.00 | $196.99–$325.03 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 15m | $131.30 | $202.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 30m | $133.90 | $206.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $141.70 | $218.00 | $14.17–$218.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 15m | $158.60 | $244.00 | $275.79–$303.36 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 30m | $170.30 | $262.00 | $133.00–$274.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 30m | $170.30 | $262.00 | $137.00–$233.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 15m | $178.75 | $275.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 30m | $178.75 | $275.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 45m | $182.00 | $280.00 | $18.20–$280.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 45m | $191.75 | $295.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 60m | $196.30 | $302.00 | $137.00–$233.00 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 45m | $198.90 | $306.00 | $196.99–$325.03 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 30m | $200.20 | $308.00 | $170.00–$202.00 | 35% | — source file |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 SPEECH SOUND LANG COMPREHEN | $203.76 | $283.00 | $79.24–$547.43 | 28% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 15m | $204.75 | $315.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 60m | $204.75 | $315.00 | $133.00–$274.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 75m | $205.40 | $316.00 | $20.54–$316.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 60m | $207.35 | $319.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Lincoln Elsberry, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$255.60 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$255.60 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$241.40 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$255.60 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$255.60 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Eval Speech Sound Product Language Comprehension | $213.00 | $284.00 | $142.00–$255.60 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 75m | $215.15 | $331.00 | $196.99–$325.03 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 45m | $215.80 | $332.00 | $21.58–$332.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 30m | $224.90 | $346.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 45m | $241.80 | $372.00 | $275.79–$303.36 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 60m | $252.85 | $389.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 30m | $256.10 | $394.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 45m | $271.70 | $418.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 60m | $282.75 | $435.00 | $170.00–$202.00 | 35% | — source file |
| Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 SLP Eval speech and language units | $286.40 | $358.00 | $32.60–$621.53 | 20% | Apr 24, 2026 source file |
| Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 SLP Eval language comp/exp units | $286.40 | $358.00 | $32.60–$621.53 | 20% | Apr 24, 2026 source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 75m | $290.55 | $447.00 | $29.06–$447.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 45m | $307.45 | $473.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 60m | $318.50 | $490.00 | $137.00–$274.00 | 35% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 SPEECH SOUND LANG COMPREHEN | $318.96 | $443.00 | $88.60–$481.38 | 28% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 75m | $324.35 | $499.00 | $275.79–$303.36 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 90m | $327.60 | $504.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 90m | $327.60 | $504.00 | $196.99–$325.03 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 75m | $344.50 | $530.00 | $34.45–$530.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 90m | $356.85 | $549.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 60m | $358.15 | $551.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 75m | $364.65 | $561.00 | $36.47–$561.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 105m | $364.65 | $561.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 105m | $364.65 | $561.00 | $196.99–$325.03 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 90m | $365.30 | $562.00 | $275.79–$303.36 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 135m | $378.30 | $582.00 | $137.00–$274.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 105m | $397.15 | $611.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Eval Spch Sound Prod W/Lang Comp Up to 120m | $401.70 | $618.00 | $40.17–$556.20 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Eval Spch Sound Prod W/Lang Comp Up to 120m | $401.70 | $618.00 | $40.17–$618.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Eval Spch Sound Prod W/Lang Comp Up to 120m | $405.60 | $624.00 | $40.56–$624.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 105m | $406.90 | $626.00 | $275.79–$303.36 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 150m | $408.85 | $629.00 | $40.89–$629.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 75m | $409.50 | $630.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 90m | $411.45 | $633.00 | $196.99–$501.46 | 35% | — source file |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 SPEECH SOUND LANG COMPREHEN | $421.20 | $585.00 | $163.80–$585.00 | 28% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 90m | $430.30 | $662.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 165m | $440.70 | $678.00 | $44.07–$678.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Eval Spch Sound Prod W/Lang Comp Up to 120m | $448.50 | $690.00 | $44.85–$690.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 105m | $449.80 | $692.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 105m | $458.25 | $705.00 | $137.00–$274.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 90m | $460.85 | $709.00 | $196.99–$501.46 | 35% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL SPEECH SOUND LANG COMPREHEN | $468.72 | $651.00 | $171.00–$651.00 | 28% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 180m | $472.55 | $727.00 | $137.00–$274.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Eval Spch Sound Prod W/Lang Comp Up to 120m | $490.75 | $755.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 120m | $504.40 | $776.00 | $196.99–$501.46 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 195m | $506.35 | $779.00 | $50.64–$779.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 105m | $512.20 | $788.00 | $51.22–$788.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 210m | $538.20 | $828.00 | $53.82–$828.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Chld Dev Eval of Sp Snd Prd W/Eval Up to 120m | $563.55 | $867.00 | $137.00–$312.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 225m | $570.05 | $877.00 | $137.00–$274.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 240m | $602.55 | $927.00 | $60.26–$927.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 255m | $634.40 | $976.00 | $63.44–$976.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Chld Dev Spch Snd Prod W/Lang Comp to 270m | $666.25 | $1,025.00 | $196.99–$501.46 | 35% | — source file |
Outpatient: lowest $95.55, median $208.38, highest $468.72 — a 4.9× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $286.40. 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 12 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 it is
A speech and language evaluation assesses speech and understanding.
What the price covers
The price is for one session or evaluation.