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Procedure price report · Psychological and psychiatric evaluation and therapy

Family health behavior counseling, each extra 15 minutes

CPT 96168the billing code this page is about

Add-on billed for each additional 15 minutes of face-to-face behavioral intervention with the family and patient, beyond the first 30 minutes.

Hospitals typically charge $51 cash for this outpatient procedure — the median across 576 hospitals that filed a usable cash price; the average of the middle 60% is $55. Most fall between $25 and $100 (20th–80th percentile).

Hospitals
576
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 576 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
$17$26$51$86$147

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($17 vs $147).

How the prices are spread

$11 – $14: 20 hospitals$11$14 – $19: 37 hospitals$19 – $25: 24 hospitals$19$25 – $32: 55 hospitals$32 – $42: 70 hospitals$32$42 – $55: 64 hospitals$55 – $71: 62 hospitals$55$71 – $93: 85 hospitals$93 – $122: 51 hospitals$93$122 – $159: 52 hospitals$122median $51price bands are equal on a log scale
Hospitals per price band (520 of 576 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$1420
$14$1937
$19$2524
$25$3255
$32$4270
$42$5564
$55$7162
$71$9385
$93$12251
$122$15952

By state

The median cash price in each state, against the national median of $51.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 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 $37 across 13 hospitalsWA$37Idaho: 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 $73 across 16 hospitalsMN$73Illinois: median $37 across 21 hospitalsIL$37Wisconsin: median $38 across 16 hospitalsWI$38Michigan: median $32 across 34 hospitalsMI$32New York: median $38 across 21 hospitalsNY$38Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $38 across 20 hospitalsOR$38Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $58 across 17 hospitalsIA$58Indiana: median $58 across 26 hospitalsIN$58Ohio: median $81 across 35 hospitalsOH$81Pennsylvania: median $25 across 28 hospitalsPA$25New Jersey: 2 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 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 $128 across 68 hospitalsCA$128Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $42 across 13 hospitalsCO$42Nebraska: 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: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $18 across 24 hospitalsVA$18Maryland: 7 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: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $94 across 18 hospitalsNC$94South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $44 across 11 hospitalsOK$44Louisiana: 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 $26 across 10 hospitalsGA$26Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $82 across 53 hospitalsTX$82Florida: median $80 across 28 hospitalsFL$80
Cash price by state, most expensive first. National median $51. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA68$128+154%$53 – $159
North Carolina NC18$94+85%$17 – $94
Texas TX53$82+63%$77 – $107
Ohio OH35$81+60%$58 – $116
Florida FL28$80+58%$33 – $130
Minnesota MN16$73+44%$56 – $73
Indiana IN26$58+15%$40 – $74
Iowa IA17$58+14%$58 – $59
Oklahoma OK11$44−13%$44 – $44
Colorado CO13$42−18%$24 – $78
Oregon OR20$38−24%$13 – $42
New York NY21$38−25%$10 – $141
Wisconsin WI16$38−25%$38 – $38
Washington WA13$37−26%$27 – $51
Illinois IL21$37−26%$26 – $74
Michigan MI34$32−38%$26 – $226
Georgia GA10$26−49%$26 – $26
Pennsylvania PA28$25−51%$15 – $56
Virginia VA24$18−65%$17 – $82
Massachusetts MA8not 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
West Virginia WV7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Tennessee TN6not 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
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Jersey NJ2not 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
Wyoming WY2not 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 $51.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care471$49$25 – $107
Children’s32$75$31 – $116
Critical access71$47$26 – $77
Ownership
For-profit36$67$35 – $107
Government83$54$24 – $94
Non-profit455$50$25 – $107
System affiliation
Part of a system493$54$26 – $107
Independent83$47$23 – $84

Cash price vs list price

Median list price (chargemaster)$75
Median cash price$51
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

447 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 $28 and $107.

Cash price percentiles, inpatient, across 447 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
$18$35$58$94$147

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($18 vs $147).

Of the 471 hospitals that filed this code inpatient, 447 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

576 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 624 hospitals that filed this code at all gave us
Usable cash price — counted576
Cash price carrying a plausibility flag — shown on the compare tool, excluded here11
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 — excluded37
Hospitals that filed this code624

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 Fam W/Pt F2f Ea Add 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, “Family health behavior counseling, each extra 15 minutes (CPT 96168) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96168-family-health-behavior-counseling-each-extra-15-minutes