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Procedure price report · Psychological and psychiatric evaluation and therapy

Health behavior counseling with family, first 30 minutes

CPT 96167the billing code this page is about

Face-to-face behavioral intervention for a physical health condition delivered to the family with the patient present; this code covers the first 30 minutes.

Hospitals typically charge $116 cash for this outpatient procedure — the median across 631 hospitals that filed a usable cash price; the average of the middle 60% is $116. Most fall between $44 and $194 (20th–80th percentile).

Hospitals
631
States
46
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 631 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
$30$52$116$181$234

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($30 vs $234).

How the prices are spread

$20 – $27: 23 hospitals$20$27 – $35: 43 hospitals$35 – $47: 42 hospitals$35$47 – $63: 45 hospitals$63 – $84: 60 hospitals$63$84 – $111: 67 hospitals$111 – $148: 89 hospitals$111$148 – $198: 115 hospitals$198 – $263: 67 hospitals$198$263 – $350: 23 hospitals$263median $116price bands are equal on a log scale
Hospitals per price band (574 of 631 — the bands cover the 5th to 95th percentile)
FromToHospitals
$20$2723
$27$3543
$35$4742
$47$6345
$63$8460
$84$11167
$111$14889
$148$198115
$198$26367
$263$35023

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$116
Cash as a multiple of Medicare3.0×

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 $116.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $74 across 14 hospitalsWA$74Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $182 across 18 hospitalsMN$182Illinois: median $88 across 22 hospitalsIL$88Wisconsin: median $106 across 16 hospitalsWI$106Michigan: median $73 across 34 hospitalsMI$73New York: median $47 across 35 hospitalsNY$47Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $79 across 22 hospitalsOR$79Nevada: 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 $162 across 17 hospitalsIA$162Indiana: median $116 across 26 hospitalsIN$116Ohio: median $116 across 35 hospitalsOH$116Pennsylvania: median $80 across 29 hospitalsPA$80New 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 $147 across 69 hospitalsCA$147Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $117 across 13 hospitalsCO$117Nebraska: 2 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 $36 across 24 hospitalsVA$36Maryland: 7 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: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $182 across 15 hospitalsNC$182South Carolina: median $173 across 14 hospitalsSC$173Oklahoma: median $123 across 13 hospitalsOK$123Louisiana: 5 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 10 hospitalsGA$350Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $200 across 55 hospitalsTX$200Florida: median $159 across 35 hospitalsFL$159
Cash price by state, most expensive first. National median $116. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA10$350+203%$350 – $350
Texas TX55$200+73%$153 – $208
North Carolina NC15$182+57%$34 – $182
Minnesota MN18$182+57%$127 – $213
South Carolina SC14$173+50%$75 – $325
Iowa IA17$162+41%$99 – $162
Florida FL35$159+37%$28 – $256
California CA69$147+27%$106 – $194
Oklahoma OK13$123+7%$108 – $123
Colorado CO13$117+1%$64 – $200
Indiana IN26$116+1%$66 – $175
Ohio OH35$1160%$58 – $171
Wisconsin WI16$106−8%$106 – $106
Illinois IL22$88−24%$38 – $149
Pennsylvania PA29$80−31%$9 – $184
Oregon OR22$79−32%$37 – $136
Washington WA14$74−36%$50 – $165
Michigan MI34$73−36%$22 – $101
New York NY35$47−60%$35 – $175
Virginia VA24$36−69%$17 – $79
New Jersey NJ12$33−71%$33 – $48
Massachusetts MA9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not 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
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Nevada NV1not 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 $116.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care525$108$37 – $194
Children’s33$171$76 – $254
Critical access72$120$73 – $178
Ownership
For-profit42$131$86 – $208
Government99$119$35 – $182
Non-profit489$106$44 – $194
System affiliation
Part of a system539$116$47 – $194
Independent92$83$37 – $184

Cash price vs list price

Median list price (chargemaster)$190
Median cash price$116
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

481 hospitals filed a usable inpatient cash price for this code. The median is $121 and the average of the middle 60% is $125; most fall between $58 and $194.

Cash price percentiles, inpatient, across 481 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
$33$69$121$188$231

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($33 vs $231).

Of the 506 hospitals that filed this code inpatient, 481 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 12 a list price only.

How complete is this

631 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 657 hospitals that filed this code at all gave us
Usable cash price — counted631
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded13
Hospitals that filed this code657

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 Fam W/Pt 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, “Health behavior counseling with family, first 30 minutes (CPT 96167) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96167-health-behavior-counseling-with-family-first-30-minutes