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Procedure price report · Psychological and psychiatric evaluation and therapy

One-on-one health behavior counseling, each extra 15 minutes

CPT 96159the billing code this page is about

Billed once for each additional 15 minutes of individual health behavior counseling beyond the first 30 minutes.

Hospitals typically charge $61 cash for this outpatient procedure — the median across 727 hospitals that filed a usable cash price; the average of the middle 60% is $67. Most fall between $34 and $118 (20th–80th percentile).

Hospitals
727
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 727 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
$24$38$61$110$171

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($24 vs $171).

How the prices are spread

$15 – $20: 17 hospitals$15$20 – $26: 43 hospitals$26 – $34: 50 hospitals$26$34 – $45: 109 hospitals$45 – $58: 86 hospitals$45$58 – $76: 105 hospitals$76 – $99: 61 hospitals$76$99 – $130: 112 hospitals$130 – $169: 31 hospitals$130$169 – $221: 41 hospitals$169median $61price bands are equal on a log scale
Hospitals per price band (655 of 727 — the bands cover the 5th to 95th percentile)
FromToHospitals
$15$2017
$20$2643
$26$3450
$34$45109
$45$5886
$58$76105
$76$9961
$99$130112
$130$16931
$169$22141

By state

The median cash price in each state, against the national median of $61.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 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 $47 across 17 hospitalsWA$47Idaho: 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 $75 across 15 hospitalsMN$75Illinois: median $40 across 23 hospitalsIL$40Wisconsin: median $40 across 38 hospitalsWI$40Michigan: median $41 across 45 hospitalsMI$41New York: median $63 across 26 hospitalsNY$63Massachusetts: median $66 across 15 hospitalsMA$66Oregon: median $40 across 27 hospitalsOR$40Nevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $53 across 18 hospitalsIA$53Indiana: median $64 across 32 hospitalsIN$64Ohio: median $116 across 45 hospitalsOH$116Pennsylvania: median $33 across 30 hospitalsPA$33New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 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 $124 across 75 hospitalsCA$124Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $54 across 13 hospitalsCO$54Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $51 across 24 hospitalsVA$51Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $73 across 29 hospitalsNC$73South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $40 across 12 hospitalsOK$40Louisiana: 9 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 $60 across 19 hospitalsGA$60Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $103 across 61 hospitalsTX$103Florida: median $76 across 32 hospitalsFL$76
Cash price by state, most expensive first. National median $61. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA75$124+102%$62 – $253
Ohio OH45$116+89%$71 – $125
Texas TX61$103+68%$77 – $113
Florida FL32$76+25%$36 – $143
Minnesota MN15$75+22%$58 – $75
North Carolina NC29$73+19%$40 – $112
Massachusetts MA15$66+8%$49 – $183
Indiana IN32$64+5%$47 – $74
New York NY26$63+3%$17 – $135
Georgia GA19$60−2%$60 – $105
Colorado CO13$54−12%$46 – $79
Iowa IA18$53−14%$53 – $55
Virginia VA24$51−17%$15 – $74
Washington WA17$47−23%$37 – $73
Michigan MI45$41−33%$24 – $62
Oregon OR27$40−34%$35 – $91
Wisconsin WI38$40−34%$34 – $106
Illinois IL23$40−34%$30 – $118
Oklahoma OK12$40−35%$40 – $40
Pennsylvania PA30$33−46%$14 – $56
Idaho ID9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
West Virginia WV9not 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
Kentucky KY7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
South Carolina SC4not 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
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
Arizona AZ2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Jersey NJ2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $61.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care589$64$34 – $124
Children’s32$75$47 – $158
Critical access103$50$32 – $89
Ownership
For-profit46$76$30 – $116
Government104$55$32 – $77
Non-profit574$62$34 – $124
System affiliation
Part of a system621$64$34 – $122
Independent106$53$32 – $99

Cash price vs list price

Median list price (chargemaster)$104
Median cash price$61
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

598 hospitals filed a usable inpatient cash price for this code. The median is $67 and the average of the middle 60% is $73; most fall between $37 and $124.

Cash price percentiles, inpatient, across 598 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
$27$40$67$113$176

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($27 vs $176).

Of the 636 hospitals that filed this code inpatient, 598 gave a usable cash price; 13 carried a plausibility flag, 0 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

727 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 791 hospitals that filed this code at all gave us
Usable cash price — counted727
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) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded50
Hospitals that filed this code791

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 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 Ea Addl 15 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, each extra 15 minutes (CPT 96159) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96159-one-on-one-health-behavior-counseling-each-extra-15-minutes