HRHospitalRates.comCompare prices

Procedure price report · Psychological and psychiatric evaluation and therapy

One-on-one health behavior counseling, first 30 minutes

CPT 96158the billing code this page is about

Face-to-face counseling with a single patient to change behaviors that affect a physical health condition; this code covers the first 30 minutes of the session.

Hospitals typically charge $151 cash for this outpatient procedure — the median across 779 hospitals that filed a usable cash price; the average of the middle 60% is $159. Most fall between $89 and $267 (20th–80th percentile).

Hospitals
779
States
48
Filings dated
Sep 2024 – 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 779 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
$61$100$151$226$398

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($61 vs $398).

How the prices are spread

$40 – $51: 27 hospitals$40$51 – $65: 21 hospitals$65 – $83: 59 hospitals$65$83 – $105: 84 hospitals$105 – $133: 118 hospitals$105$133 – $169: 88 hospitals$169 – $215: 108 hospitals$169$215 – $273: 88 hospitals$273 – $346: 38 hospitals$273$346 – $440: 72 hospitals$346median $151price bands are equal on a log scale
Hospitals per price band (703 of 779 — the bands cover the 5th to 95th percentile)
FromToHospitals
$40$5127
$51$6521
$65$8359
$83$10584
$105$133118
$133$16988
$169$215108
$215$27388
$273$34638
$346$44072

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$151
Cash as a multiple of Medicare0.83×

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 $151.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $127 across 18 hospitalsWA$127Idaho: 9 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 $135 across 19 hospitalsMN$135Illinois: median $108 across 25 hospitalsIL$108Wisconsin: median $116 across 38 hospitalsWI$116Michigan: median $116 across 39 hospitalsMI$116New York: median $190 across 40 hospitalsNY$190Massachusetts: median $365 across 17 hospitalsMA$365Oregon: median $127 across 22 hospitalsOR$127Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $151 across 17 hospitalsIA$151Indiana: median $118 across 32 hospitalsIN$118Ohio: median $174 across 46 hospitalsOH$174Pennsylvania: median $200 across 32 hospitalsPA$200New Jersey: median $178 across 12 hospitalsNJ$178Connecticut: 6 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 $267 across 79 hospitalsCA$267Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $139 across 13 hospitalsCO$139Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $111 across 10 hospitalsMO$111Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $191 across 11 hospitalsWV$191Virginia: median $101 across 24 hospitalsVA$101Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $160 across 29 hospitalsNC$160South Carolina: median $108 across 18 hospitalsSC$108Oklahoma: median $116 across 14 hospitalsOK$116Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals 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 20 hospitalsGA$350Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $208 across 64 hospitalsTX$208Florida: median $111 across 30 hospitalsFL$111
Cash price by state, most expensive first. National median $151. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA17$365+142%$197 – $499
Georgia GA20$350+132%$173 – $420
California CA79$267+77%$118 – $398
Texas TX64$208+38%$153 – $226
Pennsylvania PA32$200+32%$42 – $551
West Virginia WV11$191+26%$133 – $279
New York NY40$190+26%$100 – $270
New Jersey NJ12$178+18%$176 – $189
Ohio OH46$174+15%$116 – $313
North Carolina NC29$160+6%$94 – $270
Iowa IA17$1510%$95 – $151
Colorado CO13$139−8%$119 – $198
Minnesota MN19$135−11%$115 – $194
Oregon OR22$127−16%$81 – $177
Washington WA18$127−16%$72 – $240
Indiana IN32$118−22%$74 – $181
Michigan MI39$116−23%$69 – $214
Wisconsin WI38$116−23%$100 – $211
Oklahoma OK14$116−23%$116 – $328
Florida FL30$111−26%$73 – $350
Missouri MO10$111−27%$88 – $125
South Carolina SC18$108−29%$75 – $108
Illinois IL25$108−29%$76 – $168
Virginia VA24$101−34%$44 – $226
Idaho ID9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not 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
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Arkansas AR1not 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 $151.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care642$158$87 – $267
Children’s34$171$88 – $314
Critical access100$129$90 – $191
Ownership
For-profit50$208$94 – $337
Government118$153$80 – $191
Non-profit608$151$93 – $275
System affiliation
Part of a system661$153$92 – $270
Independent118$136$83 – $230

Cash price vs list price

Median list price (chargemaster)$238
Median cash price$151
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

606 hospitals filed a usable inpatient cash price for this code. The median is $151 and the average of the middle 60% is $161; most fall between $94 and $272.

Cash price percentiles, inpatient, across 606 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
$67$100$151$240$398

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($67 vs $398).

Of the 644 hospitals that filed this code inpatient, 606 gave a usable cash price; 12 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

779 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 821 hospitals that filed this code at all gave us
Usable cash price — counted779
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded27
Hospitals that filed this code821

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 Ivntj Indiv F2f 1st 30 Min.

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, “One-on-one health behavior counseling, first 30 minutes (CPT 96158) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96158-one-on-one-health-behavior-counseling-first-30-minutes