Speech evaluation cost in Alabama
In Alabama, 25 hospitals publish a cash price for speech and language evaluation: from $67.00 to $12,479.00, with a median of $443.00. The lowest price is at Coosa Valley Medical Center (Sylacauga). The highest price is 186.3× the lowest.
- The median here, $443.00, is 30% above the US median of $340.80.
- That is 2.0× Medicare's 2026 national rate for the same service ($226.46).
- Alabama ranks 37th of 50 states by median, cheapest first.
- 14 of 25 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 92523. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$67.00Coosa Valley Medical Center
Median$443.00half of hospitals charge less
Highest$12,479.00in Alabama
Lowest saves$376.00vs the median
Hospitals in Alabama, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Coosa Valley Medical Center lowest Sylacauga · Talladega-Sylacauga, AL St Evaluation Swallowing Dysfunction Kx | $67.00 | $281.00 | — source file |
| Red Bay Hospital Red Bay · Russellville, AL PAD,DANNIGER KNEE | $121.50 | $121.50 | Mar 27, 2026 source file |
| Tanner Medical Center - East Alabama Wedowee · Wedowee, AL SPEECH SOUND LANG COMPREHEN | $146.40 | $366.00 | Mar 24, 2026 source file |
| Marion Regional Medical Center Hamilton · Hamilton, AL HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $187.91 | $437.00 | Apr 1, 2026 source file |
| North Mississippi Health Services-South Marion Winfield · Winfield, AL HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $187.91 | $437.00 | Apr 1, 2026 source file |
| UAB Medical West Bessemer · Birmingham, AL *ST Eval SP Sound Prod LangCom | $206.25 | $275.00 | Jun 22, 2026 source file |
| Ochsner Choctaw General Butler · Butler, AL HC EVAL OF SPEECH SOUND PROD W/ COMPH & EXPRESSION | $209.76 | $276.00 | Apr 1, 2026 source file |
| East Alabama Medical Center Opelika · Auburn-Opelika, AL RS SPO EVAL SOUND PROD LANG COMPR | $211.20 | $384.00 | Jan 1, 2026 source file |
| Riverview Regional Medical Center Gadsden · Gadsden, AL Hc St Eval Speech Sound Prod Languag Comprhns, 60 Min | $214.00 | $387.40 | Sep 1, 2026 source file |
| Southeast Health Medical Center Dothan · Dothan, AL SPEECH SOUND LANG COMPREHEN | $233.54 | $583.86 | Nov 4, 2026 source file |
| Highlands Medical Center Scottsboro · Scottsboro, AL EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION | $268.80 | $384.00 | May 11, 2026 source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham · Birmingham, AL HC Slp Eval Speech Sound Product Language Comprehension | $288.99 | $672.06 | Mar 31, 2026 source file |
| Marshall Medical Center North Guntersville · Albertville, AL SPEECH SOUND LANG COMPREHEN | $443.00 | $443.00 | Apr 13, 2026 source file |
| Marshall Medical Centers Boaz · Albertville, AL SPEECH SOUND LANG COMPREHEN | $443.00 | $443.00 | Apr 13, 2026 source file |
| Bibb Medical Center Centreville · Birmingham, AL EVAL SPEECH SOUND PROD | $454.00 | $454.00 | Nov 1, 2025 source file |
| Athens Limestone Hospital Athens · Huntsville, AL EVALUATE SPEECH SOUND PROD/LANG COMP | $470.50 | $470.50 | Mar 25, 2026 source file |
| DeKalb Regional Medical Center Fort Payne · Fort Payne, AL EVALUATE SPEECH SOUND PROD/LANG COMP | $470.50 | $470.50 | Aug 20, 2026 source file |
| Baptist Health Citizens Hospital Talladega · Talladega-Sylacauga, AL Hb Speech Sound Lang Comprehen | $725.00 | $725.00 | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham · Birmingham, AL Hb Speech Sound Lang Comprehen | $725.00 | $725.00 | Apr 1, 2026 source file |
| Baptist Health Shelby Hospital Alabaster · Birmingham, AL Hb Speech Sound Lang Comprehen | $725.00 | $725.00 | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper · Birmingham, AL Hb Speech Sound Lang Comprehen | $725.00 | $725.00 | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham · Birmingham, AL Hb Speech Sound Lang Comprehen | $755.55 | $755.55 | Apr 1, 2026 source file |
| Helen Keller Hospital Sheffield · Florence-Muscle Shoals, AL SCREW OLEC NAIL 2.7X 12-50 SYN | $1,021.90 | $1,021.90 | Mar 27, 2026 source file |
| Huntsville Hospital one side Huntsville · Huntsville, AL XR-VERT SEL SUBCL/INNOM,UNI,RT | $12,479.00 | $12,479.00 | Mar 27, 2026 source file |
| Huntsville Hospital one side Madison · Huntsville, AL XR-VERT SEL SUBCL/INNOM,UNI,RT | $12,479.00 | $12,479.00 | Mar 27, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Birmingham, AL | 7 | $206.25 | $725.00 |
| Huntsville, AL | 3 | $470.50 | $12,479.00 |
| Albertville, AL | 2 | $443.00 | $443.00 |
| Talladega-Sylacauga, AL | 2 | $67.00 | $396.00 |
| Auburn-Opelika, AL | 1 | $211.20 | $211.20 |
| Butler, AL | 1 | $209.76 | $209.76 |
| Dothan, AL | 1 | $233.54 | $233.54 |
| Florence-Muscle Shoals, AL | 1 | $1,021.90 | $1,021.90 |
| Fort Payne, AL | 1 | $470.50 | $470.50 |
| Gadsden, AL | 1 | $214.00 | $214.00 |
| Hamilton, AL | 1 | $187.91 | $187.91 |
| Russellville, AL | 1 | $121.50 | $121.50 |
| Scottsboro, AL | 1 | $268.80 | $268.80 |
| Wedowee, AL | 1 | $146.40 | $146.40 |
| Winfield, AL | 1 | $187.91 | $187.91 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What speech evaluation is, what the price covers and why prices differ: Speech evaluation explained.
Speech and language evaluation in other states
- Alaska$650.25
- Arizona$880.00
- Arkansas$172.45
- California$457.08
- Colorado$466.92
- Connecticut$682.00
- Delaware$444.38
- District of Columbia$376.14
- Florida$586.95
- Georgia$244.14
- Hawaii$312.20
- Idaho$425.84
- Illinois$346.85
- Indiana$204.33
- Iowa$307.36
- Kansas$235.30
- Kentucky$276.29
- Louisiana$191.59
- Maine$323.03
- Maryland$624.66
- Massachusetts$585.50
- Michigan$377.00
- Minnesota$323.58
- Mississippi$187.91
- Missouri$256.80
- Montana$363.13
- Nebraska$325.50
- Nevada$228.05
- New Hampshire$351.54
- New Jersey$292.08
- New Mexico$324.00
- New York$392.60
- North Carolina$318.00
- North Dakota$572.00
- Ohio$340.80
- Oklahoma$186.55
- Oregon$351.98
- Pennsylvania$533.35
- Puerto Rico$400.00, 1 hospital
- Rhode Island$200.00, 4 hospitals
- South Carolina$314.60
- South Dakota$423.20
- Tennessee$185.85
- Texas$380.08
- Utah$578.31
- Vermont$383.87
- Virginia$328.50
- Washington$383.87
- West Virginia$278.50
- Wisconsin$355.00
- Wyoming$477.00
Median cash price across the state's hospitals.