Speech evaluation cost in Virginia
In Virginia, 53 hospitals publish a cash price for speech and language evaluation: from $173.88 to $1,343.52, with a median of $328.50. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 7.7× the lowest.
- The median here, $328.50, is 4% below the US median of $340.80.
- That is 1.5× Medicare's 2026 national rate for the same service ($226.46).
- Virginia ranks 22nd of 50 states by median, cheapest first.
- 5 of 53 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 Oct 31, 2026. See them on a map
Lowest$173.88Dickenson Community Hospital + 1 more
Median$328.50half of hospitals charge less
Highest$1,343.52in Virginia
Lowest saves$154.62vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC EVAL SPEECH SOUND PROD W/LANG COM | $173.88 | $756.00 | Mar 23, 2026 source file |
| Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC EVAL SPEECH SOUND PROD W/LANG COM | $173.88 | $756.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC EVAL SPEECH SOUND PROD W/LANG COM | $185.85 | $1,239.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC EVAL SPEECH SOUND PROD W/LANG COM | $185.85 | $1,239.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC EVAL SPEECH SOUND PROD W/LANG COM | $185.85 | $1,239.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC EVAL SPEECH SOUND PROD W/LANG COM | $185.85 | $1,239.00 | Mar 23, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB EVAL SPEECH/LANG 91-120 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB EVAL SPEECH/LANG 0-30 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB EVAL SPEECH/LANG 91-120 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB EVAL SPEECH/LANG 61-90 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB EVAL SPEECH/LANG 0-30 MIN | $216.65 | $619.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB EVAL SPEECH/LANG 0-30 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB EVAL SPEECH/LANG 91-120 MIN | $216.65 | $619.00 | Dec 15, 2025 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $253.34 | $633.35 | Jul 10, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $258.80 | $647.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $258.80 | $647.00 | Jul 10, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Eval Speech Sound Lang Comprhension | $275.40 | $459.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Eval Speech Sound Lang Comprhension | $275.40 | $459.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Eval Speech Sound Lang Comprhension | $275.40 | $459.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Eval Speech Sound Lang Comprhension | $287.40 | $479.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Speech Sound Lang Comprehen | $328.50 | $657.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Eval Speech Sound Lang Comprhension | $346.50 | $1,155.00 | Apr 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $368.42 | $921.04 | Jul 14, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Eval Speech Sound Lang Comprhension | $426.30 | $1,421.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Speech sound lang comprehen | $432.00 | $864.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Speech sound lang comprehen | $432.00 | $864.00 | Dec 30, 2024 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Eval Speech Sound Lang Comprhension | $511.50 | $1,705.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $514.00 | $1,285.00 | Jul 14, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Eval Speech Sound Lang Comprhension | $561.60 | $936.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $596.00 | $596.00 | Sep 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Speech Sound Lang Comprehen | $601.50 | $1,203.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Speech Sound Lang Comprehen | $601.50 | $1,203.00 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Eval Of Sp Sound Prod W Lang | $689.50 | $1,379.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $714.00 | $714.00 | Sep 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC EVAL SPEECH SOUND PROD W/COMPREH/EXPRESS | $726.50 | $1,453.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC EVAL SPEECH SOUND PROD W/COMPREH/EXPRESS | $726.50 | $1,453.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC EVAL SPEECH SOUND PROD W/COMPREH/EXPRESS | $726.50 | $1,453.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC EVAL SPEECH SOUND PROD W/COMPREH/EXPRESS | $726.50 | $1,453.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC EVAL SPEECH SOUND PROD W/COMPREH/EXPRESS | $726.50 | $1,453.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Speech Sound Lang Comprehen | $750.50 | $1,501.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Eval Speech Sound Lang Comprhension | $824.40 | $1,374.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Eval Speech Sound Lang Comprhension | $855.60 | $1,426.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Eval Speech Sound Lang Comprhension | $855.60 | $1,426.00 | Apr 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $924.21 | $924.21 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,241.00 | $1,241.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,343.52 | $1,343.52 | 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 |
|---|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 11 | $328.50 | $726.50 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 9 | $287.40 | $328.50 |
| Richmond, VA | 6 | $275.40 | $310.95 |
| Roanoke, VA | 5 | $216.65 | $216.65 |
| Blacksburg-Christiansburg-Radford, VA | 2 | $216.65 | $465.32 |
| Bluefield, WV-VA | 2 | $216.65 | $292.54 |
| Big Stone Gap, VA | 1 | $185.85 | $185.85 |
| Clintwood, VA | 1 | $173.88 | $173.88 |
| Charlottesville, VA | 1 | $601.50 | $601.50 |
| Danville, VA | 1 | $258.80 | $258.80 |
| Emporia, VA | 1 | $511.50 | $511.50 |
| Harrisonburg, VA | 1 | $601.50 | $601.50 |
| Kilmarnock, VA | 1 | $561.60 | $561.60 |
| Kingsport-Bristol, TN-VA | 1 | $185.85 | $185.85 |
| Lebanon, VA | 1 | $185.85 | $185.85 |
| Lexington, VA | 1 | $216.65 | $216.65 |
| Low Moor, VA | 1 | $596.00 | $596.00 |
| Marion, VA | 1 | $185.85 | $185.85 |
| Martinsville, VA | 1 | $258.80 | $258.80 |
| Pennington Gap, VA | 1 | $173.88 | $173.88 |
| South Boston, VA | 1 | $750.50 | $750.50 |
| Suffolk, VA | 1 | $328.50 | $328.50 |
| Staunton-Stuarts Draft, VA | 1 | $689.50 | $689.50 |
| Wytheville, VA | 1 | $253.34 | $253.34 |
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
- South Dakota$423.20
- Tennessee$185.85
- Texas$380.08
- Utah$578.31
- Vermont$383.87
- Washington$383.87
- West Virginia$278.50
- Wisconsin$355.00
- Wyoming$477.00
Median cash price across the state's hospitals.