Speech evaluation cost in Missouri
In Missouri, 49 hospitals publish a cash price for speech and language evaluation: from $91.50 to $1,372.36, with a median of $256.80. The lowest price is at Hermann Area Hospital District (Hermann). The highest price is 15.0× the lowest.
- The median here, $256.80, is 25% below the US median of $340.80.
- That is 1.1× Medicare's 2026 national rate for the same service ($226.46).
- Missouri ranks 10th of 50 states by median, cheapest first.
- 6 of 49 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$91.50Hermann Area Hospital District
Median$256.80half of hospitals charge less
Highest$1,372.36in Missouri
Lowest saves$165.30vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hermann Area Hospital District lowest Hermann · Hermann, MO Evaluation of speech sound production with evaluation of language comprehension and expression | $91.50 | $152.50 | Oct 28, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 15m | $95.55 | $147.00 | Jun 10, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 15m | $95.55 | $147.00 | Jun 10, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $107.25 | $165.00 | Jun 10, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $113.75 | $175.00 | Mar 12, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $117.00 | $180.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $117.00 | $180.00 | Jun 10, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $117.00 | $180.00 | Jun 10, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 15m | $131.30 | $202.00 | Jun 10, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO SPEECH SOUND LANG COMPREHEN | $135.98 | $599.04 | Apr 24, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO SPEECH,LANG,AURAL REHAB EVAL | $136.00 | $272.00 | May 19, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 15m | $141.70 | $218.00 | Jun 4, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO SPEECH SOUND LANG COMPREHEN | $150.96 | $599.04 | Apr 24, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 15m | $158.60 | $244.00 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $163.80 | $252.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Eval Spch Sound Prod W/Lang Comp Up to 15m | $163.80 | $252.00 | Jun 4, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO SPEECH SOUND LANG COMPREHEN | $182.71 | $599.04 | Apr 24, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO SPEECH SOUND LANG COMPREHEN | $191.09 | $599.04 | Apr 24, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Speech sound lang comprehen | $191.70 | $639.00 | Oct 15, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc St Eval Speech Sound Prod Languag Comprhns, 60 Min | $220.00 | $691.85 | Mar 17, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO EVAL OF SPEECH SOUND PROD | $227.50 | $350.00 | Oct 8, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Eval Spch Sound Prod W/Lang Comp Up to 15m | $228.15 | $351.00 | Jun 9, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS SPEECH SOUND LANG EVALUATION | $246.96 | $617.40 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS SPEECH SOUND LANG EVALUATION | $246.96 | $617.40 | Sep 1, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS SPEECH EVALUATION BRIEF | $256.80 | $535.00 | Apr 1, 2026 source file |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights · St. Louis, MO-IL SLP Eval speech and language units | $286.40 | $358.00 | Apr 24, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION | $294.00 | $490.00 | Jul 1, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Eval Spch Sound Prod W/Lang Comp Up to 105m | $313.95 | $483.00 | Jun 11, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO Speech Evaluation with Language Charge | $316.13 | $1,505.36 | Apr 1, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Eval Spch Sound Prod W/Lang Comp Up to 15m | $316.55 | $487.00 | Jun 9, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO EVAL SPEECH/PROD/AND/LANG 75M | $342.60 | $571.00 | Apr 1, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO ST SPEECH SOUND PRODUCTION EVALUATION | $360.00 | $360.00 | Jul 1, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS EVALUATION OF LANGUAGE COMPREHENSION & EXPRESSION | $374.02 | $534.31 | Apr 20, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION | $376.40 | $470.50 | Mar 25, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Eval Spch Sound Prod W/Lang Comp Up to 90m | $399.75 | $615.00 | Jun 11, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $403.75 | $475.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $403.75 | $475.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $403.75 | $475.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $403.75 | $475.00 | Sep 26, 2025 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO ST EVAL COMPREHENSION | $414.90 | $461.00 | Oct 13, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO SLP Sound Prod w/ Lang Comp Eval Rehab Units | $455.40 | $455.40 | Apr 1, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO 92523 EVAL LANGUANGE ONLY CHARGE | $480.00 | $600.00 | May 5, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Speech Eval Sound W/Lang | $492.00 | $492.00 | Apr 1, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS EVAL SPEECH SOUND 92523 | $502.60 | $718.00 | Apr 7, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO ST EVAL W/ EVAL LANG COMP | $566.30 | $809.00 | Oct 24, 2026 source file |
| Phelps Health Rolla · Rolla, MO EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION | $627.30 | $896.14 | Feb 26, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,101.91 | $1,101.91 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,112.29 | $1,112.29 | Sep 1, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,372.36 | $1,372.36 | Sep 1, 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 |
|---|---|---|---|
| Kansas City, MO-KS | 7 | $220.00 | $502.60 |
| St. Louis, MO-IL | 6 | $95.55 | $136.50 |
| Joplin, MO-KS | 4 | $228.15 | $246.96 |
| Springfield, MO | 4 | $150.96 | $163.80 |
| Cape Girardeau, MO-IL | 2 | $313.95 | $402.98 |
| St. Joseph, MO-KS | 2 | $403.75 | $403.75 |
| Albany, MO | 1 | $403.75 | $403.75 |
| Aurora, MO | 1 | $117.00 | $117.00 |
| Bethany, MO | 1 | $227.50 | $227.50 |
| Branson, MO | 1 | $135.98 | $135.98 |
| Cassville, MO | 1 | $117.00 | $117.00 |
| Clinton, MO | 1 | $294.00 | $294.00 |
| Columbia, MO | 1 | $342.60 | $342.60 |
| Dexter, MO | 1 | $399.75 | $399.75 |
| Fredericktown, MO | 1 | $414.90 | $414.90 |
| Hermann, MO | 1 | $91.50 | $91.50 |
| Lamar, MO | 1 | $191.09 | $191.09 |
| Lousiana, MO | 1 | $480.00 | $480.00 |
| Lebanon, MO | 1 | $107.25 | $107.25 |
| Memphis, MO | 1 | $566.30 | $566.30 |
| Milan, MO | 1 | $360.00 | $360.00 |
| Monett, MO | 1 | $182.71 | $182.71 |
| Maryville, MO | 1 | $403.75 | $403.75 |
| Osage Beach, MO | 1 | $191.70 | $191.70 |
| Perryville, MO | 1 | $113.75 | $113.75 |
| Poplar Bluff, MO | 1 | $316.13 | $316.13 |
| Rolla, MO | 1 | $627.30 | $627.30 |
| Ste. Genevieve, MO | 1 | $136.00 | $136.00 |
| Warrensburg, MO | 1 | $455.40 | $455.40 |
| West Plains, MO | 1 | $117.00 | $117.00 |
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
- 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
- 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.