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Procedure price report · Psychological and psychiatric evaluation and therapy

Team-based mental health care, each extra 30 minutes

CPT 99494the billing code this page is about

Billed in addition to a first care management period; one unit is each additional 30 minutes in a month of mental health care coordinated by a care manager with a psychiatric consultant.

Hospitals typically charge $90 cash for this outpatient procedure — the median across 344 hospitals that filed a usable cash price; the average of the middle 60% is $89. Most fall between $51 and $134 (20th–80th percentile).

Hospitals
344
States
46
Filings dated
Apr 2025 – 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 344 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
$36$54$90$120$198

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($36 vs $198).

How the prices are spread

$28 – $34: 16 hospitals$28$34 – $42: 21 hospitals$42 – $53: 30 hospitals$42$53 – $65: 29 hospitals$65 – $81: 31 hospitals$65$81 – $100: 57 hospitals$100 – $124: 64 hospitals$100$124 – $153: 18 hospitals$153 – $190: 26 hospitals$153$190 – $235: 22 hospitals$190median $90price bands are equal on a log scale
Hospitals per price band (314 of 344 — the bands cover the 5th to 95th percentile)
FromToHospitals
$28$3416
$34$4221
$42$5330
$53$6529
$65$8131
$81$10057
$100$12464
$124$15318
$153$19026
$190$23522

By state

The median cash price in each state, against the national median of $90.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $71 across 10 hospitalsWA$71Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $87 across 11 hospitalsMT$87North Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $222 across 13 hospitalsMN$222Illinois: median $107 across 12 hospitalsIL$107Wisconsin: median $90 across 28 hospitalsWI$90Michigan: median $57 across 28 hospitalsMI$57New York: median $83 across 41 hospitalsNY$83Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 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 $111 across 14 hospitalsIA$111Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $31 across 17 hospitalsPA$31New Jersey: 6 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $111 across 28 hospitalsCA$111Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: median $42 across 15 hospitalsWV$42Virginia: 3 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: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $77 across 11 hospitalsOK$77Louisiana: 1 hospital 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 $55 across 19 hospitalsTX$55Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $90. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN13$222+145%$92 – $222
California CA28$111+23%$96 – $111
Iowa IA14$111+23%$111 – $111
Illinois IL12$107+18%$76 – $167
Wisconsin WI28$900%$89 – $203
Montana MT11$87−4%$61 – $93
New York NY41$83−8%$39 – $162
Oklahoma OK11$77−15%$77 – $77
Washington WA10$71−22%$53 – $110
Michigan MI28$57−37%$40 – $90
Texas TX19$55−39%$52 – $55
West Virginia WV15$42−54%$42 – $91
Pennsylvania PA17$31−66%$25 – $73
Oregon OR9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
New Jersey NJ6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arkansas AR1not 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
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not 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 $90.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care252$90$52 – $131
Critical access92$89$43 – $154
Ownership
For-profit11fewer than 20 hospitals
Government49$90$50 – $145
Non-profit284$90$51 – $133
System affiliation
Part of a system284$90$50 – $133
Independent60$90$54 – $151

Cash price vs list price

Median list price (chargemaster)$139
Median cash price$90
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

220 hospitals filed a usable inpatient cash price for this code. The median is $90 and the average of the middle 60% is $90; most fall between $55 and $130.

Cash price percentiles, inpatient, across 220 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
$40$60$90$111$191

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($40 vs $191).

Of the 226 hospitals that filed this code inpatient, 220 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 5 a list price only.

How complete is this

344 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 362 hospitals that filed this code at all gave us
Usable cash price — counted344
Cash price carrying a plausibility flag — shown on the compare tool, excluded here4
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 — excluded14
Hospitals that filed this code362

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 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/SBSQ PSYC COLLAB CARE.

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, “Team-based mental health care, each extra 30 minutes (CPT 99494) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99494-team-based-mental-health-care-each-extra-30-minutes