Doctor visits and therapy CPT 96130 Outpatient

Psychological testing, 1st hour cost in Decatur, IL

In Decatur, IL, 1 hospital lists a cash price for psychological testing evaluation by a psychologist or physician, first hour: from $672.48 to $672.48, with a median of $672.48. Across Illinois, the median is $270.40 at 23 hospitals.

Cash prices at 1 facility for code 96130, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$672.48St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis
Median$672.48half pay less
Highest$672.48in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis Decatur, IL · (217) 464-2966 HC PSYCH TESTING EVAL MD/QHCP INIT HOUR $672.48 $934.00 $231.39–$934.00 28% —
source file

Outpatient: lowest $672.48, median $672.48, highest $672.48.

As an inpatient, the same code is billed by 1 facility here, median $672.48. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This code covers the first hour of a psychologist's or physician's work on psychological testing: choosing tests, interpreting results, writing the report and reviewing the findings with the patient. It is often part of an ADHD, learning or mood evaluation.

What the price covers

The price covers the first hour of evaluation work. Each additional hour is billed with an add-on code (96131), and giving and scoring the tests is billed under separate codes.