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Evaluation of Speech Sound Production with Evaluation of Language Comprehension… Cost in South Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 41 South Dakota hospitals. CPT 92523. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $465
📉 Low $213
📈 High $729
🏥 41 hospitals
🏛️ 37 with insurance contracts
🇺🇸 Medicare $226
Hospital comparison — South Dakota
Sorted by cash price (lowest first). Showing top 41 of 41 hospitals.
Billed more than $465 for this? That gap is evidence.
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| Hospital | Cash | UHC | BCBS | Aetna | Medicare | MultiPlan | Health Net | Cigna | Humana |
|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS COUNTY MEMORIAL HOSPITAL TH ST ARMOUR |
$213 | $201 | $237 | — | — | — | — | — | — |
| AVERA DAKOTA PLAINS SURGICAL CENTER ABERDEEN |
$261 | $76.00 | — | — | — | — | — | — | — |
| FREEMAN REGIONAL HEALTH SERVICES FREEMAN |
$323 | $85.30 | — | — | — | — | — | — | — |
| MARSHALL COUNTY HEALTHCARE CENTER BRITTON |
$328 | $86.70 | — | — | — | — | — | — | — |
| SANFORD VERMILLION MEDICAL CENTER VERMILLION |
$341 | $141 | — | $141 | $141 | $383 | $383 | — | — |
| FAULKTON AREA MEDICAL CENTER FAULKTON |
$370 | $55.00 | $100 | — | — | — | — | — | $55.00 |
| AVERA DELLS AREA HOSPITAL DELL RAPIDS |
$371 | $85.30 | $27.90 | — | — | — | — | — | — |
| MADISON COMMUNITY HOSPITAL MADISON |
$371 | — | — | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL AVERA REDFIELD |
$373 | $85.30 | $21.20 | — | — | — | — | — | — |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA SIOUX FALLS |
$399 | $76.20 | $142 | — | — | — | — | — | — |
| PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES VIBORG |
$408 | $143 | $392 | $322 | — | — | — | $347 | — |
| EUREKA COMMUNITY HEALTH SERVICES EUREKA |
$410 | $85.30 | — | — | — | — | — | — | — |
| AVERA ST. MARY'S HOSPITAL PIERRE |
$429 | $76.00 | — | — | — | — | — | — | — |
| HANS P. PETERSON MEMORIAL HOSPITAL PHILIP |
$431 | — | — | — | — | — | — | — | — |
| SANFORD ABERDEEN MEDICAL CENTER ABERDEEN |
$431 | $228 | $228 | $228 | $228 | $485 | $485 | — | — |
| SANFORD CLEAR LAKE MEDICAL CENTER CLEAR LAKE |
$446 | $310 | $456 | $310 | $310 | $502 | $502 | $502 | — |
| FALL RIVER HOSPITAL HOT SPRINGS |
$448 | — | — | — | — | — | — | — | — |
| SANFORD CANTON-INWOOD MEDICAL CENTER CANTON |
$452 | $210 | — | $210 | $210 | $508 | $508 | — | — |
| AVERA FOX RUN HEALTH CAMPUS YANKTON |
$465 | $85.30 | — | — | — | — | — | — | — |
| AVERA GREGORY HOSPITAL GREGORY |
$465 | $85.30 | — | — | — | — | — | — | — |
| SANFORD CHILDREN'S HOSPITAL SIOUX FALLS SIOUX FALLS |
$467 | $228 | $69.23 | $228 | $228 | $526 | $526 | — | — |
| PRAIRIE LAKES HOSPITAL WATERTOWN |
$469 | $92.40 | — | — | $222 | — | — | — | — |
| SANFORD CHAMBERLAIN MEDICAL CENTER CHAMBERLAIN |
$502 | $233 | — | $233 | $233 | $565 | $565 | — | — |
| MILBANK AREA HOSPITAL AVERA MILBANK |
$504 | $85.30 | $37.60 | — | — | — | — | — | — |
| AVERA HAND COUNTY MEMORIAL HOSPITAL MILLER |
$504 | $85.30 | — | — | — | — | — | — | — |
| SANFORD HOSPITAL WEBSTER WEBSTER |
$506 | $215 | — | $215 | $215 | $570 | $570 | — | — |
| WINNER REGIONAL HEALTHCARE CENTER WINNER |
$513 | — | $436 | — | — | — | — | — | — |
| AVERA SAINT BENEDICT HEALTH CENTER PARKSTON |
$539 | $85.30 | — | — | — | — | — | — | — |
| AVERA DE SMET MEMORIAL HOSPITAL DE SMET |
$539 | $85.30 | — | — | — | — | — | — | — |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER DE SMET |
$539 | $85.30 | — | — | — | — | — | — | — |
| WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA WAGNER |
$545 | $85.30 | — | — | — | — | — | — | — |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER SIOUX FALLS |
$563 | — | $98.07 | — | — | — | — | — | — |
| AVERA ORTHOPEDIC HOSPITAL SIOUX FALLS |
$563 | — | $98.07 | — | — | — | — | — | — |
| ST. MICHAEL'S HOSPITAL AVERA TYNDALL |
$634 | $85.30 | — | — | — | — | — | — | — |
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$635 | $85.30 | — | — | — | — | — | — | — |
| AVERA QUEEN OF PEACE HOSPITAL MITCHELL |
$635 | $85.30 | — | — | — | — | — | — | — |
| PLATTE HEALTH CENTER PLATTE |
$680 | $86.70 | — | — | — | — | — | — | — |
| BOWDLE HEALTHCARE BOWDLE |
$692 | $85.30 | — | — | — | — | — | — | — |
| COTEAU HEALTH CARE SYSTEM HOSPITAL SISSETON |
$705 | $233 | $529 | — | — | — | — | — | $233 |
| REHABILITATION AND CRITICAL CARE HOSPITAL OF THE BLACK HILLS RAPID CITY |
$713 | — | — | — | — | — | — | $80.00 | — |
| BENNETT COUNTY HOSPITAL MARTIN |
$729 | — | — | — | — | — | — | — | — |
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 $465 for this?
That is the median of what the 41 South Dakota 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 South Dakota, Medicare reimburses about $226 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in South Dakota range from $213 to $729 — that means hospital cash prices are typically 2.1x 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 South Dakota?
- Cash prices for evaluation of speech sound production with evaluation of language comprehension… (CPT 92523) in South Dakota range from $213 to $729, with a median of $465. Prices vary widely by hospital.
- Where can I find the cheapest evaluation of speech sound production with evaluation of language comprehension… in South Dakota?
- The cheapest South Dakota hospital published cash price for this procedure is $213. 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
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Methodology. Cash prices and insurance-negotiated rates published by each South Dakota facility under federal price transparency rules (45 CFR § 180). CPT code 92523 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.