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Procedure price report · Psychological and psychiatric evaluation and therapy

Group health behavior counseling, first 30 minutes

CPT 96164the billing code this page is about

Health behavior counseling delivered to a group of two or more patients; this code covers the first 30 minutes and is billed for each patient in the group.

Hospitals typically charge $54 cash for this outpatient procedure — the median across 612 hospitals that filed a usable cash price; the average of the middle 60% is $58. Most fall between $21 and $117 (20th–80th percentile).

Hospitals
612
States
47
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 612 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
$14$23$54$102$153

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($14 vs $153).

How the prices are spread

$10 – $14: 24 hospitals$10$14 – $19: 63 hospitals$19 – $25: 54 hospitals$19$25 – $35: 61 hospitals$35 – $47: 54 hospitals$35$47 – $64: 59 hospitals$64 – $88: 101 hospitals$64$88 – $120: 54 hospitals$120 – $163: 61 hospitals$120$163 – $223: 22 hospitals$163median $54price bands are equal on a log scale
Hospitals per price band (553 of 612 — the bands cover the 5th to 95th percentile)
FromToHospitals
$10$1424
$14$1963
$19$2554
$25$3561
$35$4754
$47$6459
$64$88101
$88$12054
$120$16361
$163$22322

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$54
Cash as a multiple of Medicare1.41×

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 $54.

Alaska: 1 hospital 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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $66 across 17 hospitalsWA$66Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $147 across 15 hospitalsMN$147Illinois: median $16 across 20 hospitalsIL$16Wisconsin: median $14 across 22 hospitalsWI$14Michigan: median $10 across 19 hospitalsMI$10New York: median $47 across 33 hospitalsNY$47Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $18 across 19 hospitalsOR$18Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $22 across 17 hospitalsIA$22Indiana: median $62 across 25 hospitalsIN$62Ohio: median $81 across 37 hospitalsOH$81Pennsylvania: median $48 across 29 hospitalsPA$48New Jersey: median $33 across 12 hospitalsNJ$33Connecticut: 5 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 $95 across 70 hospitalsCA$95Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $36 across 12 hospitalsCO$36Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $36 across 24 hospitalsVA$36Maryland: 6 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: 3 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 $105 across 15 hospitalsNC$105South Carolina: median $57 across 18 hospitalsSC$57Oklahoma: median $18 across 13 hospitalsOK$18Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $350 across 15 hospitalsGA$350Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $73 across 57 hospitalsTX$73Florida: median $60 across 28 hospitalsFL$60
Cash price by state, most expensive first. National median $54. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA15$350+548%$76 – $350
Minnesota MN15$147+172%$112 – $147
North Carolina NC15$105+94%$34 – $105
California CA70$95+75%$44 – $136
Ohio OH37$81+50%$58 – $117
Texas TX57$73+35%$26 – $161
Washington WA17$66+22%$34 – $74
Indiana IN25$62+14%$22 – $107
Florida FL28$60+11%$14 – $256
South Carolina SC18$57+5%$26 – $57
Pennsylvania PA29$48−12%$6 – $153
New York NY33$47−13%$35 – $94
Colorado CO12$36−34%$31 – $53
Virginia VA24$36−34%$24 – $79
New Jersey NJ12$33−39%$33 – $48
Iowa IA17$22−59%$22 – $28
Oklahoma OK13$18−66%$18 – $18
Oregon OR19$18−68%$11 – $70
Illinois IL20$16−71%$15 – $49
Wisconsin WI22$14−74%$14 – $102
Michigan MI19$10−81%$10 – $52
West Virginia WV8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not 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 $54.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care513$54$21 – $113
Children’s28$66$27 – $153
Critical access70$39$15 – $141
Ownership
For-profit42$76$18 – $170
Government94$35$22 – $105
Non-profit475$57$19 – $117
System affiliation
Part of a system537$57$21 – $117
Independent75$32$20 – $71

Cash price vs list price

Median list price (chargemaster)$89
Median cash price$54
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

451 hospitals filed a usable inpatient cash price for this code. The median is $58 and the average of the middle 60% is $60; most fall between $22 and $117.

Cash price percentiles, inpatient, across 451 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
$15$23$58$102$161

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($15 vs $161).

Of the 475 hospitals that filed this code inpatient, 451 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 11 a list price only.

How complete is this

612 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 637 hospitals that filed this code at all gave us
Usable cash price — counted612
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
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 — excluded10
Hospitals that filed this code637

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 Group 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, “Group health behavior counseling, first 30 minutes (CPT 96164) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96164-group-health-behavior-counseling-first-30-minutes