Speech evaluation cost in North Carolina
In North Carolina, 58 hospitals publish a cash price for speech and language evaluation: from $47.25 to $640.00, with a median of $318.00. The lowest price is at Iredell Memorial Hospital (Statesville). The highest price is 13.5× the lowest.
- The median here, $318.00, is 7% below the US median of $340.80.
- That is 1.4× Medicare's 2026 national rate for the same service ($226.46).
- North Carolina ranks 17th of 50 states by median, cheapest first.
- 6 of 58 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 11, 2026. See them on a map
Lowest$47.25Iredell Memorial Hospital
Median$318.00half of hospitals charge less
Highest$640.00in North Carolina
Lowest saves$270.75vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville · Charlotte-Concord-Gastonia, NC-SC Speech Thearpy Language/Cognition Evaluation | $47.25 | $175.00 | Dec 31, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $104.00 | $208.00 | Oct 30, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC Eval Lang Only (per Procedure)/Sp | $110.32 | $197.00 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Eval Speech Sound W/Eval Lang Compreh | $148.50 | $550.00 | Apr 1, 2026 source file |
| Duke University Hospital Durham · Durham, NC Eval Speech Sound W/Eval Lang Compreh | $157.95 | $585.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Eval Speech Sound W/Eval Lang Compreh | $157.95 | $585.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Eval Speech Sound W/Eval Lang Compreh | $157.95 | $585.00 | Apr 1, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $200.00 | $400.00 | Oct 8, 2025 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC Eval Lang Only (per Procedure)/Sp | $201.04 | $359.00 | Apr 1, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Speech and Language Eval | $205.80 | $294.00 | Jan 25, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $208.00 | $416.00 | Oct 30, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $223.66 | $559.15 | Jul 10, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC EVALUATION OF SPEECH/LANGUAGE | $231.00 | $1,155.00 | Dec 30, 2024 source file |
| Harris Regional Hospital Sylva · Sylva, NC Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $252.77 | $631.93 | Jul 10, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Slp Eval Comprehensive | $258.40 | $680.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Slp Eval Comprehensive | $258.40 | $680.00 | Feb 11, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $269.20 | $673.00 | Jul 10, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC Eval Lang Only (per Procedure)/Sp | $294.15 | $555.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC Eval Lang Only (per Procedure)/Sp | $294.15 | $555.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC Eval Lang Only (per Procedure)/Sp | $294.56 | $526.00 | Apr 1, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $301.00 | $602.00 | Oct 8, 2025 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $308.50 | $617.00 | Oct 28, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC Eval Speech Sound Prod W/ Lang Comp & Express (per Procedure)/Sp | $316.96 | $566.00 | Apr 1, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Nov 4, 2026 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 30, 2026 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 30, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $318.00 | $636.00 | Oct 29, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Eval Speech Sound Prod W/ Lang Comp & Express (per Procedure)/Sp | $319.20 | $570.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC Eval Lang Only (per Procedure)/Sp | $322.56 | $576.00 | Apr 1, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $331.50 | $663.00 | Oct 30, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $350.50 | $701.00 | Aug 12, 2025 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC SPEECH SOUND LANG COMPREHEN | $358.32 | $895.81 | Jul 8, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC SPEECH SOUND LANG COMPREHEN | $364.80 | $608.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC SPEECH SOUND LANG COMPREHEN | $364.80 | $608.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC SPEECH SOUND LANG COMPREHEN | $364.80 | $608.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC SPEECH SOUND LANG COMPREHEN | $364.80 | $608.00 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC SPEECH SOUND LANG COMPREHEN | $364.80 | $608.00 | Mar 22, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Eval Speech/Sound W/ Lang Comp | $380.80 | $560.00 | Nov 12, 2025 source file |
| Wilson Medical Center Wilson · Wilson, NC Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $422.00 | $1,055.00 | Jul 10, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Speech Sound Lang Comprehen | $430.50 | $861.00 | Apr 1, 2026 source file |
| Carepartners Rehabilitation Hospital Asheville · Asheville, NC Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $440.79 | $440.79 | Sep 1, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC HCHG EVAL SPCH LANG COMPRHN/EXPRSN | $446.00 | $446.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC HCHG EVAL SPCH LANG COMPRHN/EXPRSN | $446.00 | $446.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC HCHG EVAL SPCH LANG COMPRHN/EXPRSN | $446.00 | $446.00 | May 11, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Evaluation of speech sound production with evaluation of language comprehension and expression | $468.30 | $669.00 | Nov 2, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC Eval Lang Only (per Procedure)/Sp | $491.12 | $877.00 | Apr 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $524.37 | $524.37 | Apr 1, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $640.00 | $640.00 | Apr 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 15 | $47.25 | $318.00 |
| Fayetteville, NC | 3 | $364.80 | $364.80 |
| Raleigh-Cary, NC | 3 | $157.95 | $258.40 |
| Winston-Salem, NC | 3 | $104.00 | $301.00 |
| Asheville, NC | 2 | $440.79 | $540.40 |
| Durham-Chapel Hill, NC | 2 | $157.95 | $213.58 |
| Mount Airy, NC | 2 | $208.00 | $294.40 |
| Ahoskie, NC | 1 | $294.56 | $294.56 |
| Asheboro, NC | 1 | $231.00 | $231.00 |
| Albemarle, NC | 1 | $318.00 | $318.00 |
| Anderson Creek, NC | 1 | $364.80 | $364.80 |
| Clinton, NC | 1 | $468.30 | $468.30 |
| Columbus, NC | 1 | $524.37 | $524.37 |
| Concord, NC | 1 | $318.00 | $318.00 |
| Durham, NC | 1 | $157.95 | $157.95 |
| Edenton, NC | 1 | $491.12 | $491.12 |
| Elizabethtown, NC | 1 | $364.80 | $364.80 |
| Elizabeth City, NC | 1 | $430.50 | $430.50 |
| Forest City, NC | 1 | $223.66 | $223.66 |
| Greensboro-High Point, NC | 1 | $331.50 | $331.50 |
| Greenville, NC | 1 | $294.15 | $294.15 |
| Hickory-Lenoir-Morganton, NC | 1 | $358.32 | $358.32 |
| Kenansville, NC | 1 | $316.96 | $316.96 |
| Kill Devil Hills, NC | 1 | $322.56 | $322.56 |
| Laurinburg, NC | 1 | $308.50 | $308.50 |
| Murphy, NC | 1 | $205.80 | $205.80 |
| North Wilkesboro, NC | 1 | $200.00 | $200.00 |
| Roanoke Rapids, NC | 1 | $201.04 | $201.04 |
| Rocky Mount, NC | 1 | $319.20 | $319.20 |
| Sparta, NC | 1 | $350.50 | $350.50 |
| Sylva, NC | 1 | $252.77 | $252.77 |
| Shelby-Kings Mountain, NC | 1 | $318.00 | $318.00 |
| Windsor, NC | 1 | $110.32 | $110.32 |
| Washington, NC | 1 | $294.15 | $294.15 |
| Wilson, NC | 1 | $422.00 | $422.00 |
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
- 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 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.