HRHospitalRates.comCompare prices

Procedure price report · Psychological and psychiatric evaluation and therapy

Behavior therapy with plan changes by therapist, per 15 min

CPT 97155the billing code this page is about

Adaptive behavior treatment given by a physician or qualified health professional who adjusts the treatment plan during the session; billed for each 15 minutes.

Hospitals typically charge $161 cash for this outpatient procedure — the median across 217 hospitals that filed a usable cash price; the average of the middle 60% is $167. Most fall between $43 and $336 (20th–80th percentile).

Hospitals
217
States
27
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 217 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$161$336$543

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($26 vs $543).

How the prices are spread

$18 – $104: 84 hospitals$18$104 – $623: 110 hospitals$623 – $3,716: 7 hospitals$623$3,716 – $22,173: 0 hospitals$22,173 – $132,288: 0 hospitals$22,173$132,288 – $789,251: 0 hospitals$789,251 – $4,708,813: 0 hospitals$789,251$4,708,813 – $28,093,614: 0 hospitals$28,093,614 – $167,611,497: 0 hospitals$28,093,614$167,611,497 – $999,999,999: 12 hospitals$167,611,497median $161price bands are equal on a log scale
Hospitals per price band (213 of 217 — the bands cover the 5th to 95th percentile)
FromToHospitals
$18$10484
$104$623110
$623$3,7167
$3,716$22,1730
$22,173$132,2880
$132,288$789,2510
$789,251$4,708,8130
$4,708,813$28,093,6140
$28,093,614$167,611,4970
$167,611,497$999,999,99912

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$161
Cash as a multiple of Medicare0.89×

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 $161.

Alaska: 1 hospital 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: no hospital in the corpus filed a usable priceMNIllinois: median $35 across 11 hospitalsIL$35Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $26 across 22 hospitalsMI$26New York: median $222 across 32 hospitalsNY$222Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $70 across 17 hospitalsIN$70Ohio: median $160 across 13 hospitalsOH$160Pennsylvania: median $105 across 15 hospitalsPA$105New Jersey: median $178 across 13 hospitalsNJ$178Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $336 across 30 hospitalsCA$336Utah: 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: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 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: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth 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: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $161. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$336+108%$205 – $336
New York NY32$222+37%$190 – $999,999,999
New Jersey NJ13$178+10%$176 – $230
Ohio OH13$160−1%$73 – $251
Pennsylvania PA15$105−35%$89 – $222
Indiana IN17$70−57%$18 – $94
Illinois IL11$35−78%$18 – $352
Michigan MI22$26−84%$26 – $213
Florida FL8not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Tennessee TN6not 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
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $161.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care185$189$46 – $336
Children’s14fewer than 20 hospitals
Critical access17fewer than 20 hospitals
Ownership
For-profit16fewer than 20 hospitals
Government31$190$110 – $344
Non-profit169$160$43 – $336
System affiliation
Part of a system183$176$43 – $336
Independent34$125$47 – $239

Cash price vs list price

Median list price (chargemaster)$205
Median cash price$161
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

125 hospitals filed a usable inpatient cash price for this code. The median is $119 and the average of the middle 60% is $171; most fall between $32 and $336.

Cash price percentiles, inpatient, across 125 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
$20$44$119$336$408

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($20 vs $408).

Of the 130 hospitals that filed this code inpatient, 125 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 5 a list price only.

How complete is this

217 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 224 hospitals that filed this code at all gave us
Usable cash price — counted217
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 — excluded5
Hospitals that filed this code224

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 Adapt Bhv Tx Prtcl Modificaj 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 therapy with plan changes by therapist, per 15 min (CPT 97155) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97155-behavior-therapy-with-plan-changes-by-therapist-per-15-min