{"procedure":{"code_type":"CPT","code":"96112","lay_name":"Developmental testing by a clinician, first hour","blurb":"In-depth standardized testing of a child's motor, language, cognitive and social development performed and interpreted by a clinician; covers the first hour of face-to-face and report time.","slug":"cpt-96112-developmental-testing-by-a-clinician-first-hour","description":"Developmental Tst Admin Phys/Qhp 1st Hour","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"7","label":"Other diagnostic nervous system procedures","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":1081,"n_usable":1017,"n_not_usable":0,"n_labelled":34,"n_no_cash":30,"n_estimated":0,"n_states":49,"cash_p10":95.4,"cash_p20":139.65,"cash_p25":167.48,"cash_p50":298.0,"cash_p75":456.7,"cash_p80":506.5,"cash_p90":769.3,"cash_mean_trimmed":299.49,"gross_p50":476.2,"cash_to_gross_p50":0.65,"medicare_rate":131.46,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":2.2668,"by_state":[{"state":"AK","n":8,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":18,"p20":157.9,"p50":230.73,"p80":1104.0},{"state":"CA","n":94,"p20":301.5,"p50":492.44,"p80":845.6},{"state":"CO","n":20,"p20":179.1,"p50":372.6,"p80":464.5},{"state":"CT","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":44,"p20":226.85,"p50":300.4,"p80":877.5},{"state":"GA","n":12,"p20":393.12,"p50":393.12,"p80":393.12},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":23,"p20":176.8,"p50":288.4,"p80":307.2},{"state":"ID","n":10,"p20":118.3,"p50":414.0,"p80":414.0},{"state":"IL","n":60,"p20":59.1,"p50":227.01,"p80":472.0},{"state":"IN","n":28,"p20":52.24,"p50":82.32,"p80":151.89},{"state":"KS","n":11,"p20":110.88,"p50":128.0,"p80":247.0},{"state":"KY","n":9,"p20":null,"p50":null,"p80":null},{"state":"LA","n":15,"p20":70.72,"p50":127.36,"p80":198.72},{"state":"MA","n":17,"p20":238.0,"p50":393.75,"p80":586.0},{"state":"MD","n":14,"p20":182.38,"p50":279.29,"p80":421.17},{"state":"ME","n":19,"p20":119.32,"p50":139.65,"p80":456.7},{"state":"MI","n":24,"p20":163.52,"p50":267.0,"p80":391.95},{"state":"MN","n":41,"p20":228.58,"p50":240.35,"p80":312.6},{"state":"MO","n":20,"p20":156.86,"p50":225.25,"p80":286.4},{"state":"MS","n":13,"p20":114.18,"p50":148.23,"p80":357.6},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":22,"p20":184.8,"p50":364.48,"p80":364.48},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":7,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":20,"p20":173.18,"p50":184.26,"p80":1485.0},{"state":"NM","n":6,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":47,"p20":160.62,"p50":225.0,"p80":481.0},{"state":"OH","n":68,"p20":332.1,"p50":409.5,"p80":702.0},{"state":"OK","n":14,"p20":213.5,"p50":213.5,"p80":305.4},{"state":"OR","n":21,"p20":224.25,"p50":276.25,"p80":320.0},{"state":"PA","n":34,"p20":81.84,"p50":275.0,"p80":671.44},{"state":"RI","n":2,"p20":null,"p50":null,"p80":null},{"state":"SC","n":17,"p20":199.8,"p50":369.91,"p80":499.58},{"state":"SD","n":4,"p20":null,"p50":null,"p80":null},{"state":"TN","n":34,"p20":67.2,"p50":95.4,"p80":159.2},{"state":"TX","n":47,"p20":105.91,"p50":218.6,"p80":570.75},{"state":"UT","n":24,"p20":624.76,"p50":624.76,"p80":624.76},{"state":"VA","n":28,"p20":66.01,"p50":228.0,"p80":345.5},{"state":"VT","n":6,"p20":null,"p50":null,"p80":null},{"state":"WA","n":27,"p20":235.45,"p50":331.0,"p80":350.4},{"state":"WI","n":36,"p20":312.6,"p50":391.95,"p80":598.8},{"state":"WV","n":9,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":780,"p20":139.39,"p50":281.6,"p80":527.0},{"key":"childrens","n":45,"p20":180.6,"p50":324.0,"p80":465.0},{"key":"critical_access","n":188,"p20":134.0,"p50":294.45,"p80":464.17}],"ownership":[{"key":"for_profit","n":82,"p20":138.25,"p50":384.75,"p80":968.59},{"key":"government","n":160,"p20":136.35,"p50":233.8,"p80":400.0},{"key":"nonprofit","n":771,"p20":148.5,"p50":300.4,"p80":520.56}],"affiliation":[{"key":"affiliated","n":856,"p20":138.25,"p50":300.4,"p80":541.8},{"key":"independent","n":161,"p20":157.9,"p50":272.0,"p80":440.0}]},"histogram":[{"lo":67.2,"hi":87.27,"n":44},{"lo":87.27,"hi":113.33,"n":50},{"lo":113.33,"hi":147.17,"n":81},{"lo":147.17,"hi":191.12,"n":98},{"lo":191.12,"hi":248.2,"n":140},{"lo":248.2,"hi":322.32,"n":116},{"lo":322.32,"hi":418.57,"n":160},{"lo":418.57,"hi":543.57,"n":101},{"lo":543.57,"hi":705.9,"n":76},{"lo":705.9,"hi":916.7,"n":62}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T10:46:50.712029Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T10:46:52.415798Z","n_priced_setters":3956,"n_filed":797,"n_usable":752,"n_not_usable":0,"n_labelled":17,"n_no_cash":28,"n_estimated":0,"n_states":49,"cash_p10":105.91,"cash_p20":159.2,"cash_p25":191.52,"cash_p50":328.8,"cash_p75":469.0,"cash_p80":508.2,"cash_p90":711.0,"cash_mean_trimmed":326.18,"gross_p50":515.75,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":16,"p20":175.43,"p50":283.4,"p80":1104.0},{"state":"CA","n":80,"p20":313.12,"p50":492.44,"p80":845.6},{"state":"CO","n":14,"p20":179.1,"p50":372.6,"p80":464.5},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":28,"p20":216.3,"p50":233.8,"p80":300.4},{"state":"GA","n":11,"p20":393.12,"p50":393.12,"p80":393.12},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":212.0,"p50":307.2,"p80":307.2},{"state":"ID","n":9,"p20":null,"p50":null,"p80":null},{"state":"IL","n":52,"p20":155.0,"p50":331.8,"p80":505.0},{"state":"IN","n":17,"p20":128.31,"p50":138.25,"p80":180.95},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":6,"p20":null,"p50":null,"p80":null},{"state":"LA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MA","n":17,"p20":238.0,"p50":393.75,"p80":586.0},{"state":"MD","n":6,"p20":null,"p50":null,"p80":null},{"state":"ME","n":15,"p20":115.96,"p50":185.46,"p80":456.7},{"state":"MI","n":19,"p20":163.52,"p50":386.4,"p80":398.65},{"state":"MN","n":38,"p20":228.58,"p50":240.35,"p80":312.6},{"state":"MO","n":12,"p20":191.4,"p50":225.25,"p80":249.6},{"state":"MS","n":11,"p20":139.76,"p50":271.04,"p80":413.92},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":17,"p20":184.8,"p50":364.48,"p80":364.48},{"state":"ND","n":6,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":11,"p20":434.0,"p50":813.0,"p80":1813.5},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":26,"p20":225.0,"p50":324.94,"p80":483.0},{"state":"OH","n":62,"p20":337.5,"p50":433.55,"p80":702.0},{"state":"OK","n":10,"p20":213.5,"p50":213.5,"p80":213.5},{"state":"OR","n":12,"p20":224.25,"p50":224.25,"p80":302.1},{"state":"PA","n":21,"p20":244.0,"p50":359.8,"p80":998.1},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":9,"p20":null,"p50":null,"p80":null},{"state":"SD","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":31,"p20":67.2,"p50":95.4,"p80":114.18},{"state":"TX","n":33,"p20":79.98,"p50":138.5,"p80":432.5},{"state":"UT","n":22,"p20":624.76,"p50":624.76,"p80":624.76},{"state":"VA","n":29,"p20":66.01,"p50":228.0,"p80":393.68},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":21,"p20":251.43,"p50":331.0,"p80":350.4},{"state":"WI","n":29,"p20":234.3,"p50":391.95,"p80":400.0},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":593,"p20":151.89,"p50":324.94,"p80":527.0},{"key":"childrens","n":33,"p20":177.6,"p50":336.04,"p80":570.75},{"key":"critical_access","n":122,"p20":170.85,"p50":318.5,"p80":479.1}],"ownership":[{"key":"for_profit","n":52,"p20":105.91,"p50":314.0,"p80":474.4},{"key":"government","n":108,"p20":139.76,"p50":281.0,"p80":410.9},{"key":"nonprofit","n":588,"p20":173.18,"p50":331.8,"p80":570.75}],"affiliation":[{"key":"affiliated","n":651,"p20":155.12,"p50":331.8,"p80":546.0},{"key":"independent","n":101,"p20":167.24,"p50":313.0,"p80":464.17}]},"histogram":[{"lo":79.98,"hi":101.92,"n":31},{"lo":101.92,"hi":129.87,"n":46},{"lo":129.87,"hi":165.5,"n":48},{"lo":165.5,"hi":210.89,"n":45},{"lo":210.89,"hi":268.74,"n":95},{"lo":268.74,"hi":342.46,"n":100},{"lo":342.46,"hi":436.39,"n":140},{"lo":436.39,"hi":556.09,"n":75},{"lo":556.09,"hi":708.63,"n":62},{"lo":708.63,"hi":903.0,"n":41}],"previous":null}},"related":[{"code_type":"CPT","code":"95810","lay_name":"Overnight sleep study, age 6 and older, in lab","slug":"cpt-95810-overnight-sleep-study-age-6-and-older-in-lab"},{"code_type":"CPT","code":"95811","lay_name":"Sleep study with CPAP setup, age 6 and older, in lab","slug":"cpt-95811-sleep-study-with-cpap-setup-age-6-and-older-in-lab"},{"code_type":"CPT","code":"95805","lay_name":"Daytime nap study for sleepiness or staying awake","slug":"cpt-95805-daytime-nap-study-for-sleepiness-or-staying-awake"},{"code_type":"CPT","code":"95806","lay_name":"Home sleep test measuring airflow, effort and oxygen","slug":"cpt-95806-home-sleep-test-measuring-airflow-effort-and-oxygen"},{"code_type":"CPT","code":"95909","lay_name":"Nerve conduction studies, 5 to 6 nerves tested","slug":"cpt-95909-nerve-conduction-studies-5-to-6-nerves-tested"},{"code_type":"CPT","code":"95910","lay_name":"Nerve conduction studies, 7 to 8 nerves tested","slug":"cpt-95910-nerve-conduction-studies-7-to-8-nerves-tested"},{"code_type":"CPT","code":"95908","lay_name":"Nerve conduction studies, 3 to 4 nerves tested","slug":"cpt-95908-nerve-conduction-studies-3-to-4-nerves-tested"},{"code_type":"CPT","code":"95911","lay_name":"Nerve conduction studies, 9 to 10 nerves tested","slug":"cpt-95911-nerve-conduction-studies-9-to-10-nerves-tested"},{"code_type":"CPT","code":"95907","lay_name":"Nerve conduction studies, 1 to 2 nerves tested","slug":"cpt-95907-nerve-conduction-studies-1-to-2-nerves-tested"},{"code_type":"CPT","code":"95861","lay_name":"Needle muscle and nerve test (EMG) of two arms or legs","slug":"cpt-95861-needle-muscle-and-nerve-test-emg-of-two-arms-or-legs"},{"code_type":"CPT","code":"95912","lay_name":"Nerve conduction studies, 11 to 12 nerves tested","slug":"cpt-95912-nerve-conduction-studies-11-to-12-nerves-tested"},{"code_type":"CPT","code":"95913","lay_name":"Nerve conduction studies, 13 or more nerves tested","slug":"cpt-95913-nerve-conduction-studies-13-or-more-nerves-tested"}]}