Speech evaluation cost in South Dakota
In South Dakota, 19 hospitals publish a cash price for speech and language evaluation: from $213.30 to $629.00, with a median of $423.20. The lowest price is at Douglas County Memorial Hospital (Armour). The highest price is 2.9× the lowest.
- The median here, $423.20, is 24% above the US median of $340.80.
- That is 1.9× Medicare's 2026 national rate for the same service ($226.46).
- South Dakota ranks 35th of 50 states by median, cheapest first.
- 5 of 19 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$213.30Douglas County Memorial Hospital
Median$423.20half of hospitals charge less
Highest$629.00in South Dakota
Lowest saves$209.90vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Douglas County Memorial Hospital lowest Armour · Armour, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $213.30 | $237.00 | Jan 9, 2026 source file |
| Sanford Vermillion Hospital Vermillion · Vermillion, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $340.80 | $426.00 | Mar 4, 2026 source file |
| Faulkton Area Medical Center Faulkton · Faulkton, SD SPEECH - EVALUATION OF LANG. COMPREHENSI | $369.90 | $411.00 | Jul 17, 2026 source file |
| Hans P Peterson Memorial Hospital - Cah Philip · Philip, SD Eval Speech Sound Product Language Comprehension | $376.00 | $376.00 | Jul 1, 2024 source file |
| Madison Community Hospital Madison · Madison, SD HC Slp Eval Speech Sound Product Language Comprehension | $382.00 | $382.00 | Oct 12, 2026 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN SPEECH EVAL LANG COMP EXPRESSION 92523 | $408.00 | $408.00 | Apr 30, 2026 source file |
| Monument Health Custer Hospital Custer · Rapid City, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $423.20 | $529.00 | Oct 20, 2026 source file |
| Monument Health Lead-Deadwood Hospital Deadwood · Spearfish, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $423.20 | $529.00 | Oct 20, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $423.20 | $529.00 | Oct 22, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $423.20 | $529.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $423.20 | $529.00 | Oct 21, 2026 source file |
| Sanford Aberdeen Medical Center Aberdeen · Aberdeen, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $431.20 | $539.00 | Mar 4, 2026 source file |
| Sanford Clear Lake Medical Center Clear Lake · Clear Lake, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $446.40 | $558.00 | Mar 4, 2026 source file |
| Sanford Canton Inwood Medical Center Canton · Sioux Falls, SD-MN SPEECH EVAL LANG COMP EXPRESSION 92523 | $452.00 | $565.00 | Mar 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls · Sioux Falls, SD-MN SPEECH EVAL LANG COMP EXPRESSION 92523 | $467.20 | $584.00 | Mar 4, 2026 source file |
| Sanford Chamberlain Medical Center Chamberlain · Chamberlain, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $502.40 | $628.00 | Mar 4, 2026 source file |
| Sanford Webster Hospital Webster · Webster, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $506.40 | $633.00 | Mar 4, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD SPEECH EVAL LANG COMP EXPRESSION 92523 | $513.00 | $513.00 | May 7, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Evaluation of speech sound production with evaluation of language comprehension and expression | $629.00 | $629.00 | Nov 4, 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 |
|---|---|---|---|
| Rapid City, SD | 3 | $423.20 | $423.20 |
| Sioux Falls, SD-MN | 3 | $408.00 | $452.00 |
| Spearfish, SD | 2 | $423.20 | $423.20 |
| Armour, SD | 1 | $213.30 | $213.30 |
| Aberdeen, SD | 1 | $431.20 | $431.20 |
| Chamberlain, SD | 1 | $502.40 | $502.40 |
| Clear Lake, SD | 1 | $446.40 | $446.40 |
| Faulkton, SD | 1 | $369.90 | $369.90 |
| Madison, SD | 1 | $382.00 | $382.00 |
| Mobridge, SD | 1 | $629.00 | $629.00 |
| Philip, SD | 1 | $376.00 | $376.00 |
| Vermillion, SD | 1 | $340.80 | $340.80 |
| Webster, SD | 1 | $506.40 | $506.40 |
| Winner, SD | 1 | $513.00 | $513.00 |
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 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
- 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.