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Evaluation of Speech Sound Production with Evaluation of Language Comprehension… Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 97 North Carolina hospitals. CPT 92523. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $288
📉 Low $76.50
📈 High $642
🏥 97 hospitals
🏛️ 64 with insurance contracts
🇺🇸 Medicare $220
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 97 hospitals.
Billed more than $288 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | UHC | Cigna | Centene | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| NOVANT HEALTH PENDER MEDICAL CENTER BURGAW |
$76.50 | $47.05 | $45.90 | $124 | $47.27 | $48.70 | $43.60 | — | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$96.50 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER LEXINGTON |
$100 | $56.80 | $47.20 | $38.06 | $87.00 | $38.06 | $176 | $180 | — |
| ECU HEALTH BERTIE HOSPITAL WINDSOR |
$110 | — | — | — | — | — | — | — | — |
| WAYNE UNC HEALTHCARE WAYNE MEMORIAL DR GOLDSBORO |
$112 | — | — | — | — | — | — | — | — |
| UNC HEALTH PARDEE NORTH JUSTICE STREET HENDERSONVILLE |
$117 | — | — | — | — | — | — | — | — |
| CALDWELL MEMORIAL HOSPITAL MULBERRY ST SW LENOIR |
$121 | — | — | — | — | — | — | — | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$148 | — | — | — | — | — | — | — | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$157 | — | — | — | — | — | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$158 | $208 | $140 | $153 | $224 | — | $219 | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$158 | $208 | $140 | $153 | $224 | — | $219 | — | — |
| DUKE RALEIGH HOSPITAL RALEIGH |
$158 | $208 | $140 | $153 | $224 | — | $219 | — | — |
| GRANVILLE HEALTH SYSTEM COLLEGE STREET OXFORD |
$163 | $84.60 | $59.50 | $79.00 | $72.50 | $100 | $80.00 | — | — |
| HUGH CHATHAM MEMORIAL HOSPITAL ELKIN |
$165 | — | — | — | — | — | — | — | — |
| UNC LENOIR HEALTH CARE AIRPORT RD KINSTON |
$169 | — | — | — | — | — | — | — | — |
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$171 | $39.00 | $39.00 | $39.00 | $68.20 | $39.00 | — | — | $39.00 |
| WATAUGA MEDICAL CENTER BOONE |
$176 | — | — | — | — | — | — | — | — |
| CANNON MEMORIAL HOSPITAL LINVILLE |
$176 | — | — | — | — | — | — | — | — |
| UNC HEALTH SOUTHEASTERN TH ST LUMBERTON |
$179 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CHARLOTTE |
$190 | $190 | $67.52 | $67.52 | $196 | $67.52 | $274 | $285 | — |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HUNTERSVILLE |
$190 | $190 | $47.88 | $47.88 | $196 | $47.88 | $274 | $285 | — |
| NOVANT HEALTH MINT HILL MEDICAL CENTER CHARLOTTE |
$190 | $190 | $123 | $149 | $196 | $149 | $274 | $285 | — |
| NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL CHARLOTTE |
$190 | $190 | $67.52 | $67.52 | $196 | $67.52 | $274 | $285 | — |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER CHARLOTTE |
$190 | $190 | $79.04 | $79.04 | $196 | $79.04 | $274 | $285 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$190 | $190 | $65.36 | $65.36 | $196 | $65.36 | $274 | $285 | — |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$190 | $190 | $50.42 | $50.42 | $196 | $50.42 | $274 | $285 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$200 | $152 | $115 | $75.60 | $210 | $75.60 | — | $368 | — |
| ECU HEALTH NORTH HOSPITAL ROANOKE RAPIDS |
$201 | — | — | — | — | — | — | — | — |
| CATAWBA VALLEY MEDICAL CENTER HICKORY |
$202 | $205 | $166 | $115 | $185 | $226 | $224 | $286 | — |
| RUTHERFORD REGIONAL HEALTH SYSTEM RUTHERFORDTON |
$224 | $47.10 | $16.45 | $56.00 | $37.40 | $30.20 | $73.00 | $90.00 | $100 |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER THOMASVILLE |
$228 | $190 | $70.41 | $70.41 | $150 | $70.41 | $296 | $342 | — |
| RANDOLPH HOSPITAL ASHEBORO |
$231 | $24.70 | $17.00 | $14.10 | $33.00 | — | — | — | — |
| NOVANT HEALTH FORSYTH MEDICAL CENTER WINSTON-SALEM |
$248 | $207 | $78.41 | $78.41 | $160 | $78.41 | $322 | $373 | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$253 | $44.60 | $31.79 | $48.70 | $105 | $49.49 | $102 | — | $100 |
| HAYWOOD REGIONAL MEDICAL CENTER CLYDE |
$253 | $44.60 | $16.03 | $37.10 | $100 | $45.31 | $102 | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$258 | — | — | — | — | — | — | — | — |
| WAKEMED CARY HOSPITAL CARY |
$258 | $215 | $103 | — | — | $258 | — | — | — |
| WAKEMED NORTH HOSPITAL RALEIGH |
$258 | $215 | $103 | — | — | $215 | — | — | — |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER BOLIVIA |
$260 | $260 | $74.81 | $74.81 | $204 | $74.81 | $448 | $469 | — |
| PERSON MEMORIAL HOSPITAL ROXBORO |
$269 | $102 | $17.84 | $31.80 | $41.50 | $28.53 | $100 | — | — |
| UNC HEALTH NASH CURTIS ELLIS DR ROCKY MOUNT |
$273 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER BERMUDA RUN |
$285 | $135 | $118 | $130 | $187 | $130 | $217 | $513 | — |
| NOVANT HEALTH MEDICAL PARK HOSPITAL WINSTON-SALEM |
$287 | $239 | $116 | $116 | $185 | $116 | $372 | $430 | — |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$287 | $239 | $90.53 | $90.53 | $185 | $90.53 | $372 | $430 | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$288 | — | — | — | — | — | — | — | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$288 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$288 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$288 | — | — | — | — | — | — | — | — |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$288 | — | — | — | — | — | — | — | — |
| ECU HEALTH MEDICAL CENTER GREENVILLE |
$294 | — | — | — | — | — | — | — | — |
| ECU HEALTH ROANOKE-CHOWAN HOSPITAL AHOSKIE |
$295 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WINSTON SALEM |
$301 | $143 | $125 | $138 | $187 | $138 | $329 | $542 | — |
| MISSION HOSPITAL ASHEVILLE |
$314 | $224 | $57.76 | $58.64 | $117 | $59.49 | $226 | $252 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER HIGH POINT |
$316 | $188 | $199 | $92.44 | $346 | $92.44 | $587 | $568 | — |
| ECU HEALTH DUPLIN HOSPITAL KENANSVILLE |
$317 | — | — | — | — | — | — | — | — |
| ECU HEALTH EDGECOMBE HOSPITAL TARBORO |
$319 | — | — | — | — | — | — | — | — |
| THE OUTER BANKS HOSPITAL NAGS HEAD |
$323 | — | — | — | — | — | — | — | — |
| CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE 3RD FLOOR |
$328 | — | $328 | — | — | — | — | $246 | — |
| UNC HEALTH BLUE RIDGE SOUTH STERLING ST MORGANTON |
$331 | — | — | — | — | — | — | — | — |
| TRANSYLVANIA REGIONAL HOSPITAL BREVARD |
$340 | $88.30 | $64.15 | $65.10 | $124 | $66.09 | — | $272 | — |
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 $288 for this?
That is the median of what the 97 North Carolina 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 North Carolina, Medicare reimburses about $220 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $76.50 to $642 — that means hospital cash prices are typically 1.3x 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 North Carolina?
- Cash prices for evaluation of speech sound production with evaluation of language comprehension… (CPT 92523) in North Carolina range from $76.50 to $642, with a median of $288. Prices vary widely by hospital.
- Where can I find the cheapest evaluation of speech sound production with evaluation of language comprehension… in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $76.50. 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 North Carolina
Methodology. Cash prices and insurance-negotiated rates published by each North Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 92523 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.