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Procedure price report · Psychological and psychiatric evaluation and therapy

Behavior assessment by therapist, per 15 minutes

CPT 97151the billing code this page is about

Assessment of behavior problems by a physician or qualified health professional, including observation, testing, scoring and writing the treatment plan; billed for each 15 minutes.

Hospitals typically charge $94 cash for this outpatient procedure — the median across 238 hospitals that filed a usable cash price; the average of the middle 60% is $101. Most fall between $41 and $235 (20th–80th percentile).

Hospitals
238
States
34
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 238 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
$26$52$94$171$252

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($26 vs $252).

How the prices are spread

$18 – $25: 18 hospitals$18$25 – $36: 17 hospitals$36 – $51: 16 hospitals$36$51 – $72: 30 hospitals$72 – $103: 47 hospitals$72$103 – $147: 42 hospitals$147 – $209: 15 hospitals$147$209 – $298: 30 hospitals$298 – $425: 5 hospitals$298$425 – $606: 4 hospitals$425median $94price bands are equal on a log scale
Hospitals per price band (224 of 238 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$2518
$25$3617
$36$5116
$51$7230
$72$10347
$103$14742
$147$20915
$209$29830
$298$4255
$425$6064

Against Medicare

Medicare pays (OPPS 2026, national rate)$104
Median cash price$94
Cash as a multiple of Medicare0.91×

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 $94.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $37 across 11 hospitalsIL$37Wisconsin: median $83 across 12 hospitalsWI$83Michigan: median $29 across 24 hospitalsMI$29New York: median $109 across 23 hospitalsNY$109Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $70 across 17 hospitalsIN$70Ohio: median $77 across 14 hospitalsOH$77Pennsylvania: 6 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $109 across 15 hospitalsNJ$109Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $235 across 31 hospitalsCA$235Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $543 across 10 hospitalsFL$543
Cash price by state, most expensive first. National median $94. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$543+475%$68 – $991
California CA31$235+149%$171 – $235
New York NY23$109+16%$109 – $209
New Jersey NJ15$109+15%$102 – $278
Wisconsin WI12$83−12%$83 – $83
Ohio OH14$77−18%$59 – $200
Indiana IN17$70−26%$18 – $94
Illinois IL11$37−61%$18 – $96
Michigan MI24$29−69%$26 – $83
Texas TX9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Pennsylvania PA6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Virginia VA1not 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 $94.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care190$107$42 – $235
Children’s18fewer than 20 hospitals
Critical access29$83$25 – $93
Ownership
For-profit17fewer than 20 hospitals
Government40$109$46 – $176
Non-profit180$93$41 – $235
System affiliation
Part of a system197$99$40 – $235
Independent41$78$42 – $199

Cash price vs list price

Median list price (chargemaster)$132
Median cash price$94
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

143 hospitals filed a usable inpatient cash price for this code. The median is $93 and the average of the middle 60% is $130; most fall between $41 and $235.

Cash price percentiles, inpatient, across 143 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
$23$51$93$235$329

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($23 vs $329).

Of the 149 hospitals that filed this code inpatient, 143 gave a usable cash price; 0 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

238 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 247 hospitals that filed this code at all gave us
Usable cash price — counted238
Cash price carrying a plausibility flag — shown on the compare tool, excluded here2
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 — excluded7
Hospitals that filed this code247

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Behavior ID Assessment by Phys/Qhp Ea 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, “Behavior assessment by therapist, per 15 minutes (CPT 97151) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97151-behavior-assessment-by-therapist-per-15-minutes