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Procedure price report · Psychological and psychiatric evaluation and therapy

Health behavior assessment or repeat assessment

CPT 96156the billing code this page is about

An interview and testing session that looks at how a patient's thoughts, emotions, and behaviors affect a physical illness; billed once for the whole assessment regardless of length.

Hospitals typically charge $169 cash for this outpatient procedure — the median across 870 hospitals that filed a usable cash price; the average of the middle 60% is $176. Most fall between $97 and $288 (20th–80th percentile).

Hospitals
870
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 870 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
$68$104$169$258$384

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($68 vs $384).

How the prices are spread

$50 – $63: 30 hospitals$50$63 – $80: 54 hospitals$80 – $101: 77 hospitals$80$101 – $127: 98 hospitals$127 – $161: 102 hospitals$127$161 – $203: 143 hospitals$203 – $257: 98 hospitals$203$257 – $324: 79 hospitals$324 – $410: 78 hospitals$324$410 – $518: 26 hospitals$410median $169price bands are equal on a log scale
Hospitals per price band (785 of 870 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$6330
$63$8054
$80$10177
$101$12798
$127$161102
$161$203143
$203$25798
$257$32479
$324$41078
$410$51826

Against Medicare

Medicare pays (OPPS 2026, national rate)$104
Median cash price$169
Cash as a multiple of Medicare1.63×

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 $169.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $164 across 19 hospitalsWA$164Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $317 across 18 hospitalsMN$317Illinois: median $109 across 28 hospitalsIL$109Wisconsin: median $169 across 41 hospitalsWI$169Michigan: median $125 across 48 hospitalsMI$125New York: median $155 across 54 hospitalsNY$155Massachusetts: median $287 across 16 hospitalsMA$287Oregon: median $164 across 25 hospitalsOR$164Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $221 across 20 hospitalsIA$221Indiana: median $186 across 31 hospitalsIN$186Ohio: median $181 across 51 hospitalsOH$181Pennsylvania: median $147 across 37 hospitalsPA$147New Jersey: median $109 across 16 hospitalsNJ$109Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $221 across 83 hospitalsCA$221Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $354 across 18 hospitalsCO$354Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $128 across 13 hospitalsMO$128Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $166 across 16 hospitalsWV$166Virginia: median $101 across 25 hospitalsVA$101Maryland: 8 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $73 across 10 hospitalsTN$73North Carolina: median $159 across 31 hospitalsNC$159South Carolina: median $150 across 18 hospitalsSC$150Oklahoma: median $169 across 16 hospitalsOK$169Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $350 across 19 hospitalsGA$350Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $281 across 60 hospitalsTX$281Florida: median $127 across 39 hospitalsFL$127
Cash price by state, most expensive first. National median $169. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO18$354+110%$170 – $1,603
Georgia GA19$350+108%$96 – $350
Minnesota MN18$317+88%$193 – $416
Massachusetts MA16$287+70%$183 – $288
Texas TX60$281+66%$248 – $408
California CA83$221+31%$167 – $325
Iowa IA20$221+31%$83 – $221
Indiana IN31$186+10%$93 – $268
Ohio OH51$181+7%$117 – $235
Wisconsin WI41$1690%$145 – $220
Oklahoma OK16$1690%$169 – $189
West Virginia WV16$166−2%$112 – $350
Oregon OR25$164−3%$64 – $234
Washington WA19$164−3%$72 – $225
North Carolina NC31$159−5%$80 – $224
New York NY54$155−8%$109 – $270
South Carolina SC18$150−11%$100 – $150
Pennsylvania PA37$147−13%$66 – $477
Missouri MO13$128−24%$103 – $162
Florida FL39$127−25%$80 – $406
Michigan MI48$125−26%$100 – $169
New Jersey NJ16$109−35%$102 – $224
Illinois IL28$109−35%$64 – $179
Virginia VA25$101−40%$46 – $183
Tennessee TN10$73−57%$66 – $127
Kentucky KY9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not 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 $169.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care708$167$94 – $281
Children’s33$170$97 – $473
Critical access127$169$107 – $323
Ownership
For-profit57$197$107 – $328
Government140$158$84 – $267
Non-profit671$169$99 – $288
System affiliation
Part of a system740$169$100 – $292
Independent130$162$81 – $246

Cash price vs list price

Median list price (chargemaster)$263
Median cash price$169
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

649 hospitals filed a usable inpatient cash price for this code. The median is $180 and the average of the middle 60% is $184; most fall between $99 and $292.

Cash price percentiles, inpatient, across 649 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
$71$109$180$268$406

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($71 vs $406).

Of the 689 hospitals that filed this code inpatient, 649 gave a usable cash price; 13 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

870 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 927 hospitals that filed this code at all gave us
Usable cash price — counted870
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded9
A list price only, no cash figure — excluded28
Hospitals that filed this code927

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 Health Behavior Assessment/Re-Assessment.

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, “Health behavior assessment or repeat assessment (CPT 96156) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96156-health-behavior-assessment-or-repeat-assessment