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Procedure price report · Psychological and psychiatric evaluation and therapy

Psychological testing review and planning, first hour

CPT 96130the billing code this page is about

A psychologist interprets test results, integrates them with other information, plans treatment and reports the findings; covers the first hour of this professional time.

Hospitals typically charge $272 cash for this outpatient procedure — the median across 803 hospitals that filed a usable cash price; the average of the middle 60% is $286. Most fall between $154 and $496 (20th–80th percentile).

Hospitals
803
States
49
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 803 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$117$176$272$431$673

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($117 vs $673).

How the prices are spread

$84 – $105: 23 hospitals$84$105 – $132: 52 hospitals$132 – $166: 74 hospitals$132$166 – $209: 64 hospitals$209 – $263: 114 hospitals$209$263 – $331: 130 hospitals$331 – $416: 94 hospitals$331$416 – $524: 61 hospitals$524 – $659: 63 hospitals$524$659 – $829: 50 hospitals$659median $272price bands are equal on a log scale
Hospitals per price band (725 of 803 — the bands cover the 5th to 95th percentile)
FromToHospitals
$84$10523
$105$13252
$132$16674
$166$20964
$209$263114
$263$331130
$331$41694
$416$52461
$524$65963
$659$82950

Against Medicare

Medicare pays (OPPS 2026, national rate)$221
Median cash price$272
Cash as a multiple of Medicare1.23×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $272.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $256 across 15 hospitalsWA$256Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $249 across 41 hospitalsMN$249Illinois: median $270 across 32 hospitalsIL$270Wisconsin: median $227 across 45 hospitalsWI$227Michigan: median $263 across 42 hospitalsMI$263New York: median $361 across 49 hospitalsNY$361Massachusetts: median $455 across 16 hospitalsMA$455Oregon: median $268 across 16 hospitalsOR$268Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $270 across 23 hospitalsIA$270Indiana: median $400 across 27 hospitalsIN$400Ohio: median $348 across 44 hospitalsOH$348Pennsylvania: median $251 across 34 hospitalsPA$251New Jersey: median $345 across 21 hospitalsNJ$345Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $673 across 66 hospitalsCA$673Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $212 across 16 hospitalsMO$212Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $150 across 15 hospitalsWV$150Virginia: median $306 across 24 hospitalsVA$306Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $164 across 23 hospitalsNC$164South Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $199 across 13 hospitalsOK$199Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $136 across 12 hospitalsMS$136Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $229 across 10 hospitalsGA$229Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $307 across 60 hospitalsTX$307Florida: median $281 across 22 hospitalsFL$281
Cash price by state, most expensive first. National median $272. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA66$673+148%$309 – $829
Massachusetts MA16$455+67%$245 – $682
Indiana IN27$400+47%$120 – $560
New York NY49$361+33%$221 – $540
Ohio OH44$348+28%$264 – $607
New Jersey NJ21$345+27%$250 – $545
Texas TX60$307+13%$234 – $397
Virginia VA24$306+12%$140 – $490
Florida FL22$281+3%$146 – $991
Iowa IA23$270−1%$212 – $279
Illinois IL32$270−1%$120 – $382
Oregon OR16$268−2%$220 – $272
Michigan MI42$263−3%$128 – $432
Washington WA15$256−6%$206 – $363
Pennsylvania PA34$251−8%$74 – $560
Minnesota MN41$249−8%$100 – $363
Georgia GA10$229−16%$229 – $229
Wisconsin WI45$227−17%$154 – $326
Missouri MO16$212−22%$191 – $336
Oklahoma OK13$199−27%$199 – $598
North Carolina NC23$164−40%$113 – $231
West Virginia WV15$150−45%$114 – $269
Mississippi MS12$136−50%$136 – $178
Kentucky KY9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $272.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care621$285$157 – $515
Children’s35$286$159 – $460
Critical access144$249$136 – $414
Ownership
For-profit49$339$176 – $623
Government131$235$154 – $369
Non-profit620$279$154 – $514
System affiliation
Part of a system685$279$154 – $510
Independent118$253$162 – $451

Cash price vs list price

Median list price (chargemaster)$443
Median cash price$272
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

567 hospitals filed a usable inpatient cash price for this code. The median is $274 and the average of the middle 60% is $295; most fall between $164 and $552.

Cash price percentiles, inpatient, across 567 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$127$191$274$450$739

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($127 vs $739).

Of the 603 hospitals that filed this code inpatient, 567 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

803 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 855 hospitals that filed this code at all gave us
Usable cash price — counted803
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded26
Hospitals that filed this code855

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Psychological and psychiatric evaluation and therapy family.

Hospitals file this code under descriptions such as Psychological Tst Eval Svc Phys/Qhp First Hour.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Psychological testing review and planning, first hour (CPT 96130) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96130-psychological-testing-review-and-planning-first-hour