Evaluation of Speech Sound Production with Evaluation of Language Comprehension… Cost in Iowa
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 65 Iowa hospitals. CPT 92523. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $331
📉 Low $140
📈 High $892
🏥 65 hospitals
🏛️ 51 with insurance contracts
🇺🇸 Medicare $218
Hospital comparison — Iowa
Sorted by cash price (lowest first). Showing top 60 of 65 hospitals.
Billed more than $331 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | BCBS | Humana | Molina | Cigna | MultiPlan | Centene |
|---|---|---|---|---|---|---|---|---|---|
| BURGESS HEALTH CENTER ONAWA |
$140 | $51.00 | $51.00 | $51.00 | $51.00 | — | — | — | — |
| DALLAS COUNTY HOSPITAL PERRY |
$148 | $104 | $102 | — | $102 | $116 | — | — | — |
| BUENA VISTA REGIONAL MEDICAL CENTER TH ST STORM LAKE |
$170 | $53.00 | $53.00 | $53.00 | $53.00 | — | $90.00 | — | $53.00 |
| CHI HEALTH MERCY COUNCIL BLUFFS COUNCIL BLUFFS |
$192 | $190 | — | — | — | $182 | — | $324 | $68.55 |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL HUMBOLDT |
$202 | $96.00 | $71.00 | $77.84 | $77.84 | $77.84 | $75.00 | $75.00 | — |
| LORING HOSPITAL SAC CITY |
$207 | $77.00 | $77.00 | — | $77.00 | $89.00 | $96.00 | — | — |
| JACKSON COUNTY REGIONAL HEALTH CENTER MAQUOKETA |
$208 | $114 | $175 | $192 | $106 | — | — | — | — |
| UNITYPOINT HEALTH GRINNELL REGIONAL MEDICAL CENTER GRINNELL |
$217 | $197 | $213 | $218 | $224 | $218 | $169 | — | — |
| CHEROKEE REGIONAL MEDICAL CENTER CHEROKEE |
$230 | $53.00 | $53.00 | $53.00 | $53.00 | $55.00 | $100 | — | — |
| FLOYD VALLEY HOSPITAL LE MARS |
$233 | $85.30 | — | — | — | — | — | — | — |
| UNITYPOINT HEALTH BLANK CHILDREN'S HOSPITAL DES MOINES |
$236 | $224 | $145 | $218 | $224 | $218 | $128 | — | — |
| UNITYPOINT HEALTH IOWA LUTHERAN HOSPITAL DES MOINES |
$236 | $224 | $145 | $218 | $224 | $218 | $128 | — | — |
| UNITYPOINT HEALTH MARSHALLTOWN MARSHALLTOWN |
$243 | $221 | $213 | $109 | $224 | $218 | $242 | — | — |
| UNITYPOINT HEALTH ALLEN HOSPITAL WATERLOO |
$243 | $224 | $152 | $218 | $224 | $218 | $197 | — | — |
| GUTTENBERG MUNICIPAL HOSPITAL GUTTENBERG |
$259 | $52.00 | $52.00 | — | $52.52 | $52.52 | — | — | — |
| SPENCER HOSPITAL SPENCER |
$274 | — | — | — | — | — | — | — | — |
| STORY COUNTY HOSPITAL NORTH NEVADA |
$274 | $61.00 | $61.00 | $61.00 | $61.00 | $74.00 | — | — | — |
| GRUNDY COUNTY MEMORIAL HOSPITAL GRUNDY CENTER |
$275 | $49.00 | $49.00 | $49.00 | $49.00 | $56.00 | $95.00 | — | — |
| MERCYONE NORTH IOWA MASON CITY |
$276 | — | — | — | — | — | — | — | — |
| PALO ALTO COUNTY HOSPITAL EMMETSBURG |
$278 | $48.00 | — | $48.00 | $48.00 | $60.00 | — | — | — |
| UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER ANAMOSA |
$278 | $143 | $139 | $138 | $143 | — | $286 | — | — |
| MERCYONE DES MOINES MEDICAL CENTER DES MOINES |
$283 | — | — | — | — | — | — | — | — |
| REGIONAL MEDICAL CENTER MANCHESTER |
$286 | $37.70 | $34.34 | — | — | — | $88.03 | $95.00 | — |
| CHI HEALTH MERCY CORNING CORNING |
$286 | $141 | — | $141 | $141 | $147 | — | $322 | $144 |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY CRESCO |
$289 | $73.00 | — | — | — | — | — | — | — |
| MERCYONE DUBUQUE DUBUQUE |
$291 | — | — | — | — | — | — | — | — |
| SIOUX CENTER HEALTH AVERA SIOUX CENTER |
$291 | $85.30 | — | — | — | — | — | — | — |
| CHI HEALTH MISSOURI VALLEY MISSOURI VALLEY |
$292 | $115 | — | $297 | $115 | $147 | — | $322 | $117 |
| UNITYPOINT HEALTH ST. LUKE'S SIOUX CITY |
$295 | $224 | $184 | $218 | $224 | $218 | $232 | — | — |
| UNITYPOINT HEALTH TRINITY REGIONAL MEDICAL CENTER FORT DODGE |
$298 | $224 | $187 | $218 | $224 | — | $239 | — | — |
| CLARKE COUNTY PUBLIC HOSPITAL OSCEOLA |
$313 | $115 | $115 | $115 | $115 | $101 | $169 | — | — |
| POCAHONTAS COMMUNITY HOSPITAL POCAHONTAS |
$319 | $96.00 | $60.00 | $64.00 | $95.00 | $50.00 | $97.00 | — | — |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK |
$331 | — | — | — | — | — | — | — | — |
| AVERA HOLY FAMILY HOSPITAL ESTHERVILLE |
$337 | $85.30 | — | $17.60 | — | — | — | — | — |
| AVERA MERRILL PIONEER HOSPITAL ROCK RAPIDS |
$337 | $85.30 | — | — | — | — | — | — | — |
| UNITYPOINT HEALTHCARE FINLEY HOSPITAL DUBUQUE |
$342 | $224 | $209 | $218 | $224 | $218 | $226 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S HOSPITAL CEDAR RAPIDS |
$342 | $224 | $213 | $218 | $224 | $218 | $235 | — | — |
| COMMUNITY MEMORIAL HOSPITAL SUMNER |
$360 | $58.80 | $63.00 | $49.00 | $63.00 | $61.00 | — | — | — |
| BUCHANAN COUNTY HEALTH CENTER INDEPENDENCE |
$368 | $36.00 | $36.00 | $36.00 | $36.00 | $35.00 | $83.00 | — | — |
| HAWARDEN REGIONAL HEALTHCARE HARWARDEN |
$381 | $226 | — | $226 | — | — | — | — | — |
| GREATER REGIONAL HEALTH W TOWNLINE ST CRESTON |
$388 | $59.00 | $63.00 | $64.00 | $64.00 | $59.00 | $89.00 | — | — |
| OTTUMWA REGIONAL HEALTH CENTER PENNSYLVANIA AVE OTTUMWA |
$397 | $230 | $224 | $229 | $228 | $186 | — | — | — |
| MERCYONE OELWEIN MEDICAL CENTER OELWEIN |
$428 | — | — | — | — | — | — | — | — |
| MERCYONE NEWTON MEDICAL CENTER NEWTON |
$428 | — | — | — | — | — | — | — | — |
| MERCYONE NEW HAMPTON NEW HAMPTON |
$428 | — | — | — | — | — | — | — | — |
| MERCYONE DYERSVILLE MEDICAL CENTER DYERSVILLE |
$428 | — | — | — | — | — | — | — | — |
| GREENE COUNTY MEDICAL CENTER JEFFERSON |
$431 | $52.00 | $52.00 | — | $52.00 | $51.00 | — | — | $52.00 |
| UI HEALTH CARE MEDICAL CENTER DOWNTOWN IOWA CITY |
$431 | $213 | $218 | $220 | — | $218 | — | $567 | — |
| UNIVERSITY OF IOWA HOSPITAL & CLINICS IOWA CITY |
$431 | $213 | $218 | $222 | — | $218 | — | $567 | — |
| UNITYPOINT HEALTH TRINITY BETTENDORF |
$432 | $224 | $213 | $218 | $224 | — | $297 | — | $213 |
| UNITYPOINT HEALTH TRINITY MUSCATINE MUSCATINE |
$432 | $224 | $213 | $129 | $224 | — | $308 | — | $213 |
| MERCYONE WEST DES MOINES MEDICAL CENTER WEST DES MOINES |
$445 | — | — | — | — | — | — | — | — |
| MERCYONE CLINTON CLINTON |
$473 | — | — | — | — | — | — | — | — |
| SANFORD SHELDON MEDICAL CENTER SHELDON |
$485 | $187 | $187 | $187 | — | — | — | $545 | — |
| MERCYONE CEDAR FALLS MEDICAL CENTER CEDAR FALLS |
$504 | — | — | — | — | — | — | — | — |
| MERCYONE WATERLOO MEDICAL CENTER WATERLOO |
$504 | — | — | — | — | — | — | — | — |
| LAKES REGIONAL HEALTHCARE SPIRIT LAKE |
$511 | $76.20 | — | $100 | — | — | — | — | — |
| OSCEOLA REGIONAL HEALTH CENTER SIBLEY |
$517 | $85.30 | — | $10.00 | — | — | — | — | — |
| PELLA REGIONAL HEALTH CENTER PELLA |
$561 | $337 | $67.00 | $213 | $75.00 | $196 | — | $393 | — |
| STEWART MEMORIAL COMMUNITY HOSPITAL LAKE CITY |
$562 | $52.00 | $50.00 | — | $52.00 | $52.00 | $66.00 | $50.00 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 92523, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $365 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $331 for this?
That is the median of what the 65 Iowa hospitals above publish for Evaluation of speech sound production with evaluation of language comprehension… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 92523 in Iowa, Medicare reimburses about $218 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Iowa range from $140 to $892 — that means hospital cash prices are typically 1.5x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation of speech sound production with evaluation of language comprehension… cost in Iowa?
- Cash prices for evaluation of speech sound production with evaluation of language comprehension… (CPT 92523) in Iowa range from $140 to $892, with a median of $331. Prices vary widely by hospital.
- Where can I find the cheapest evaluation of speech sound production with evaluation of language comprehension… in Iowa?
- The cheapest Iowa hospital published cash price for this procedure is $140. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Evaluation of speech sound production with evaluation of language comprehension… in nearby states
Other procedures in Iowa
Methodology. Cash prices and insurance-negotiated rates published by each Iowa facility under federal price transparency rules (45 CFR § 180). CPT code 92523 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.