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Procedure price report · Psychological and psychiatric evaluation and therapy

First month of team-based mental health care management

CPT 99492the billing code this page is about

Covers the first 70 minutes in the first month of behavioral health care managed by a treatment team with a psychiatric consultant, directed by the treating provider.

Hospitals typically charge $152 cash for this outpatient procedure — the median across 385 hospitals that filed a usable cash price; the average of the middle 60% is $166. Most fall between $95 and $293 (20th–80th percentile).

Hospitals
385
States
46
Filings dated
Dec 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 385 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
$70$99$152$266$390

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($70 vs $390).

How the prices are spread

$57 – $70: 20 hospitals$57$70 – $86: 23 hospitals$86 – $106: 49 hospitals$86$106 – $130: 50 hospitals$130 – $160: 35 hospitals$130$160 – $196: 28 hospitals$196 – $241: 53 hospitals$196$241 – $296: 33 hospitals$296 – $363: 27 hospitals$296$363 – $447: 29 hospitals$363median $152price bands are equal on a log scale
Hospitals per price band (347 of 385 — the bands cover the 5th to 95th percentile)
FromToHospitals
$57$7020
$70$8623
$86$10649
$106$13050
$130$16035
$160$19628
$196$24153
$241$29633
$296$36327
$363$44729

Against Medicare

Medicare pays (OPPS 2026, national rate)$104
Median cash price$152
Cash as a multiple of Medicare1.46×

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 $152.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $167 across 11 hospitalsWA$167Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $224 across 10 hospitalsMT$224North Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $413 across 13 hospitalsMN$413Illinois: median $155 across 14 hospitalsIL$155Wisconsin: median $215 across 28 hospitalsWI$215Michigan: median $127 across 28 hospitalsMI$127New York: median $127 across 56 hospitalsNY$127Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $272 across 16 hospitalsIA$272Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $84 across 20 hospitalsPA$84New Jersey: median $107 across 16 hospitalsNJ$107Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: median $97 across 17 hospitalsWV$97Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $135 across 12 hospitalsSC$135Oklahoma: median $199 across 13 hospitalsOK$199Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $99 across 19 hospitalsTX$99Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $152. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN13$413+172%$219 – $413
Iowa IA16$272+79%$272 – $272
Montana MT10$224+47%$147 – $266
Wisconsin WI28$215+42%$204 – $455
Oklahoma OK13$199+31%$199 – $199
Washington WA11$167+10%$141 – $251
Illinois IL14$155+2%$89 – $333
South Carolina SC12$135−11%$107 – $260
Michigan MI28$127−16%$78 – $176
New York NY56$127−17%$96 – $317
New Jersey NJ16$107−29%$102 – $123
Texas TX19$99−35%$97 – $141
West Virginia WV17$97−36%$94 – $121
Pennsylvania PA20$84−45%$58 – $100
Ohio OH9not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $152.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care284$140$96 – $277
Children’s3fewer than 20 hospitals
Critical access98$186$94 – $322
Ownership
For-profit19fewer than 20 hospitals
Government64$155$109 – $260
Non-profit302$149$94 – $307
System affiliation
Part of a system314$140$94 – $272
Independent71$199$127 – $317

Cash price vs list price

Median list price (chargemaster)$284
Median cash price$152
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

222 hospitals filed a usable inpatient cash price for this code. The median is $199 and the average of the middle 60% is $188; most fall between $97 and $304.

Cash price percentiles, inpatient, across 222 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
$78$100$199$272$413

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($78 vs $413).

Of the 234 hospitals that filed this code inpatient, 222 gave a usable cash price; 1 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

385 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 398 hospitals that filed this code at all gave us
Usable cash price — counted385
Cash price carrying a plausibility flag — shown on the compare tool, excluded here3
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 — excluded10
Hospitals that filed this code398

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 1ST PSYC COLLAB CARE MGMT.

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, “First month of team-based mental health care management (CPT 99492) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99492-first-month-of-team-based-mental-health-care-management