Procedure price report

Repeat health and behavior assessment, per 15 minutes

CPT code CPT 96151the billing code this page is about

A follow-up assessment of how psychological and behavioral factors affect a physical health problem, using interviews, observation, and questionnaires; each unit is 15 minutes of face-to-face time.

Hospitals typically charge $70 cash for this outpatient procedure — the median across 127 hospitals that filed a usable cash price; the average of the middle 60% is $63. Most fall between $28 and $97 (20th–80th percentile).

Hospitals
127
States
30
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 127 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
$16$34$70$95$174

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($16 vs $174).

How the prices are spread

$16 – $21: 11 hospitals$16$21 – $27: 2 hospitals$27 – $35: 19 hospitals$27$35 – $45: 18 hospitals$45 – $57: 6 hospitals$45$57 – $74: 8 hospitals$74 – $95: 33 hospitals$74$95 – $123: 7 hospitals$123 – $159: 1 hospitals$123$159 – $204: 13 hospitals$159median $70price bands are equal on a log scale
Hospitals per price band (118 of 127 — the bands cover the 5th to 95th percentile)
FromToHospitals
$16$2111
$21$272
$27$3519
$35$4518
$45$576
$57$748
$74$9533
$95$1237
$123$1591
$159$20413

By state

The median cash price in each state, against the national median of $70.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 4 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: no hospital in the corpus filed a usable priceOHPennsylvania: median $173 across 13 hospitalsPA$173New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $28 across 10 hospitalsOK$28Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $90 across 29 hospitalsTX$90Florida: no hospital in the corpus filed a usable priceFL
Cash price by state, most expensive first. National median $70. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA13$173+147%$144 – $197
Texas TX29$90+29%$90 – $95
Oklahoma OK10$28−60%$28 – $28
Michigan MI7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Illinois IL4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Jersey NJ1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not 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 $70.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care103$74$28 – $97
Children’s4fewer than 20 hospitals
Critical access20$44$16 – $90
Ownership
For-profit15fewer than 20 hospitals
Government13fewer than 20 hospitals
Non-profit99$69$28 – $97
System affiliation
Part of a system106$71$28 – $95
Independent21$63$41 – $159

Cash price vs list price

Median list price (chargemaster)$111
Median cash price$70
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.

How complete is this

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

What the 134 hospitals that filed this code at all gave us
Usable cash price — counted127
Cash price carrying a plausibility flag — shown on the compare tool, excluded here0
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded6
Hospitals that filed this code134

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 14, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as All Outpatient.

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, “Repeat health and behavior assessment, per 15 minutes (CPT 96151) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96151-repeat-health-and-behavior-assessment-per-15-minutes