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Procedure price report · Psychological and psychiatric evaluation and therapy

Group behavior therapy with plan changes, per 15 minutes

CPT 97158the billing code this page is about

Adaptive behavior treatment for two or more patients led by a physician or qualified health professional who adjusts the plan during the session; billed per patient for each 15 minutes.

Hospitals typically charge $56 cash for this outpatient procedure — the median across 174 hospitals that filed a usable cash price; the average of the middle 60% is $62. Most fall between $33 and $96 (20th–80th percentile).

Hospitals
174
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 174 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$35$56$89$294

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($30 vs $294).

How the prices are spread

$17 – $103: 134 hospitals$17$103 – $615: 18 hospitals$615 – $3,675: 2 hospitals$615$3,675 – $21,959: 0 hospitals$21,959 – $131,225: 0 hospitals$21,959$131,225 – $784,175: 0 hospitals$784,175 – $4,686,083: 0 hospitals$784,175$4,686,083 – $28,003,133: 0 hospitals$28,003,133 – $167,341,368: 0 hospitals$28,003,133$167,341,368 – $999,999,999: 12 hospitals$167,341,368median $56price bands are equal on a log scale
Hospitals per price band (166 of 174 — the bands cover the 5th to 95th percentile)
FromToHospitals
$17$103134
$103$61518
$615$3,6752
$3,675$21,9590
$21,959$131,2250
$131,225$784,1750
$784,175$4,686,0830
$4,686,083$28,003,1330
$28,003,133$167,341,3680
$167,341,368$999,999,99912

Against Medicare

Medicare pays (OPPS 2026, national rate)$38
Median cash price$56
Cash as a multiple of Medicare1.47×

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 $56.

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: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $50 across 34 hospitalsNY$50Massachusetts: 5 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 13 hospitalsIN$70Ohio: median $49 across 13 hospitalsOH$49Pennsylvania: 6 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $33 across 12 hospitalsNJ$33Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $89 across 31 hospitalsCA$89Utah: 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: no hospital in the corpus filed a usable priceKYWest 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $56. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA31$89+58%$89 – $89
Indiana IN13$70+24%$61 – $94
New York NY34$50−11%$35 – $999,999,999
Ohio OH13$49−13%$32 – $89
New Jersey NJ12$33−41%$33 – $48
Illinois IL7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Pennsylvania PA6not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Washington WA4not 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
Kansas KS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wisconsin WI1not 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 $56.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care150$55$33 – $96
Children’s13fewer than 20 hospitals
Critical access10fewer than 20 hospitals
Ownership
For-profit9fewer than 20 hospitals
Government25$37$32 – $76
Non-profit139$61$33 – $96
System affiliation
Part of a system143$61$35 – $99
Independent31$43$29 – $76

Cash price vs list price

Median list price (chargemaster)$101
Median cash price$56
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.

How complete is this

174 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 177 hospitals that filed this code at all gave us
Usable cash price — counted174
Cash price carrying a plausibility flag — shown on the compare tool, excluded here1
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 — excluded2
Hospitals that filed this code177

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 GRP ADAPT BHV TX BY PHY/QHP.

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 behavior therapy with plan changes, per 15 minutes (CPT 97158) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97158-group-behavior-therapy-with-plan-changes-per-15-minutes