Speech evaluation cost in Iowa
In Iowa, 75 hospitals publish a cash price for speech and language evaluation: from $109.20 to $659.00, with a median of $307.36. The lowest price is at MercyOne Genesis Davenport West Medical Center (Davenport). The highest price is 6.0× the lowest.
- The median here, $307.36, is 10% below the US median of $340.80.
- That is 1.4× Medicare's 2026 national rate for the same service ($226.46).
- Iowa ranks 14th of 50 states by median, cheapest first.
- 9 of 75 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 7, 2026. See them on a map
Lowest$109.20MercyOne Genesis Davenport West Medical Center
Median$307.36half of hospitals charge less
Highest$659.00in Iowa
Lowest saves$198.16vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center lowest Davenport · Davenport-Moline-Rock Island, IA-IL SLP Eval Sound Prod Comp Expres I, ST | $109.20 | $182.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL SLP Eval Sound Prod Comp Expres I, ST | $121.80 | $203.00 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA SLP Eval Sound Prod Comp Expres I, ST | $121.80 | $203.00 | Mar 31, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC ST EVAL SOUND LANG COMPREH | $155.70 | $346.00 | Sep 30, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $169.60 | $212.00 | Mar 31, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC ST EVAL SOUND LANG COMPREH | $173.00 | $346.00 | Sep 30, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $190.40 | $238.00 | Oct 21, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $190.70 | $476.75 | Sep 30, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC ST EVAL SOUND LANG COMPREH | $196.51 | $457.00 | Sep 30, 2026 source file |
| Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $202.50 | $225.00 | Mar 30, 2026 source file |
| Keokuk County Health Center Sigourney · Sigourney, IA EVAL LANGUAGE COMP | $203.70 | $291.00 | Mar 16, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $207.20 | $259.00 | Aug 25, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA ST LANGUAGE COMPREHENSIVE EVAL 30M | $214.00 | $214.00 | Aug 11, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $220.80 | $368.00 | Apr 22, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $223.22 | $279.02 | Nov 4, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $229.20 | $382.00 | Jun 11, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $230.40 | $256.00 | Mar 31, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $243.56 | $304.44 | Nov 4, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $244.76 | $422.00 | Apr 21, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $245.00 | $350.00 | Jun 1, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $250.32 | $312.90 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $250.32 | $312.90 | Nov 4, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $250.58 | $374.00 | Oct 16, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $254.40 | $424.00 | Aug 20, 2026 source file |
| Boone County Hospital Boone · Ames, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $254.66 | $318.33 | Jul 27, 2026 source file |
| Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $259.20 | $324.00 | Mar 31, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Speech Sound Lang Comp or Expr | $273.75 | $365.00 | Jan 1, 2026 source file |
| Story County Hospital Nevada · Ames, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $274.40 | $343.00 | Mar 30, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $275.20 | $344.00 | Jun 29, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $276.25 | $425.00 | Mar 31, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $278.42 | $348.02 | Jan 28, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $283.40 | $436.00 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $290.55 | $447.00 | Mar 31, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $294.00 | $294.00 | Jul 10, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $294.45 | $453.00 | Sep 21, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $303.75 | $405.00 | Sep 2, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC EVAL SPEECH SOUND LANG COMPREHEN | $303.94 | $379.92 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $307.36 | $384.20 | Nov 4, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $310.40 | $388.00 | Jul 27, 2026 source file |
| Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $319.00 | $319.00 | Mar 29, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $319.80 | $615.00 | Oct 19, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $320.00 | $400.00 | Mar 4, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $320.25 | $427.00 | Oct 20, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $333.20 | $476.00 | Jul 20, 2026 source file |
| Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $339.00 | $339.00 | Sep 26, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $342.48 | $428.10 | Jan 28, 2026 source file |
| Hancock County Health System Britt · Britt, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $343.50 | $458.00 | Oct 20, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $344.28 | $604.00 | Oct 8, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $352.17 | $440.21 | Nov 4, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $356.00 | $445.00 | Sep 23, 2026 source file |
| Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $360.00 | $450.00 | Jun 18, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $360.90 | $401.00 | Nov 3, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA SPEECH/HEARING EVALUATION | $380.72 | $447.91 | Apr 24, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $408.75 | $545.00 | Oct 23, 2026 source file |
| WinnMed Decorah · Decorah, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $424.20 | $606.00 | Oct 13, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $428.35 | $659.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $428.35 | $659.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $428.35 | $659.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $428.35 | $659.00 | Mar 31, 2026 source file |
| Virginia Gay Hospital Vinton · Cedar Rapids, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $428.80 | $536.00 | Aug 13, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $431.20 | $770.00 | Mar 26, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $445.00 | $445.00 | Mar 31, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC EVAL SPEECH SOUND LANG COMPREHEN | $463.80 | $579.74 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC EVAL SPEECH SOUND LANG COMPREHEN | $463.80 | $579.74 | Nov 4, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $473.00 | $473.00 | Nov 3, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $473.20 | $728.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA SPEECH EVAL LANG COMP EXPRESSION 92523 | $484.80 | $606.00 | Mar 4, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $504.40 | $776.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $504.40 | $776.00 | Mar 31, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION | $522.20 | $746.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION (ED SVC) | $522.20 | $746.00 | Mar 11, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $537.00 | $537.00 | Jun 10, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA EVAL SPEECH SOUND LANG COMPREHEN | $545.00 | $682.00 | Oct 8, 2024 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Evaluation of speech sound production with evaluation of language comprehension and expression | $600.00 | $600.00 | Sep 14, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC St Evaluate Speech Sound Production Comprehensive/Expressive | $659.00 | $659.00 | Mar 31, 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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 6 | $190.40 | $311.20 |
| Waterloo-Cedar Falls, IA | 6 | $250.32 | $339.90 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $109.20 | $121.80 |
| Dubuque, IA | 3 | $290.55 | $352.17 |
| Iowa City, IA | 3 | $320.25 | $522.20 |
| Ames, IA | 2 | $254.66 | $264.53 |
| Carroll, IA | 2 | $250.58 | $361.79 |
| Cedar Rapids, IA | 2 | $278.42 | $353.61 |
| Clinton, IA | 2 | $121.80 | $297.50 |
| Omaha, NE-IA | 2 | $173.00 | $184.76 |
| Atlantic, IA | 1 | $245.00 | $245.00 |
| Audubon, IA | 1 | $600.00 | $600.00 |
| Belmond, IA | 1 | $220.80 | $220.80 |
| Britt, IA | 1 | $343.50 | $343.50 |
| Cedar Rapids, IA | 1 | $342.48 | $342.48 |
| Centerville, IA | 1 | $659.00 | $659.00 |
| Charles City, IA | 1 | $190.70 | $190.70 |
| Cherokee, IA | 1 | $230.40 | $230.40 |
| Clarinda, IA | 1 | $408.75 | $408.75 |
| Clarion, IA | 1 | $229.20 | $229.20 |
| Corning, IA | 1 | $155.70 | $155.70 |
| Corydon, IA | 1 | $537.00 | $537.00 |
| Decorah, IA | 1 | $424.20 | $424.20 |
| Denison, IA | 1 | $310.40 | $310.40 |
| Fairfield, IA | 1 | $254.40 | $254.40 |
| Fort Dodge, IA | 1 | $307.36 | $307.36 |
| Greenfield, IA | 1 | $303.75 | $303.75 |
| Grinnell, IA | 1 | $223.22 | $223.22 |
| Guttenberg, IA | 1 | $259.20 | $259.20 |
| Hampton, IA | 1 | $360.90 | $360.90 |
| Harlan, IA | 1 | $244.76 | $244.76 |
| Harwarden, IA | 1 | $380.72 | $380.72 |
| Humboldt, IA | 1 | $202.50 | $202.50 |
| Iowa Falls, IA | 1 | $294.00 | $294.00 |
| Jefferson, IA | 1 | $431.20 | $431.20 |
| Keosauqua, IA | 1 | $333.20 | $333.20 |
| Lake City, IA | 1 | $545.00 | $545.00 |
| Leon, IA | 1 | $320.00 | $320.00 |
| Maquoketa, IA | 1 | $214.00 | $214.00 |
| Marshalltown, IA | 1 | $250.32 | $250.32 |
| Mason City, IA | 1 | $276.25 | $276.25 |
| Muscatine, IA | 1 | $463.80 | $463.80 |
| New Hampton, IA | 1 | $428.35 | $428.35 |
| Oelwein, IA | 1 | $428.35 | $428.35 |
| Orange City, IA | 1 | $356.00 | $356.00 |
| Pocahontas, IA | 1 | $319.00 | $319.00 |
| Sac City, IA | 1 | $207.20 | $207.20 |
| Sheldon, IA | 1 | $484.80 | $484.80 |
| Shenandoah, IA | 1 | $294.45 | $294.45 |
| Sigourney, IA | 1 | $203.70 | $203.70 |
| Sioux City, IA-NE-SD | 1 | $303.94 | $303.94 |
| Spencer, IA | 1 | $273.75 | $273.75 |
| Storm Lake, IA | 1 | $169.60 | $169.60 |
| Waukon, IA | 1 | $344.28 | $344.28 |
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
- Alabama$443.00
- 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
- 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.