Doctor visits and therapy CPT 96130 Outpatient

Psychological testing, 1st hour cost in Michigan City, IN

In Michigan City-La Porte, IN, 1 hospital lists a cash price for psychological testing evaluation by a psychologist or physician, first hour: from $98.34 to $98.34, with a median of $98.34. Across Indiana, the median is $119.70 at 9 hospitals.

Cash prices at 1 facility for code 96130, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$98.34La Porte Hospital
Median$98.34half pay less
Highest$98.34in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
La Porte Hospital La Porte, IN · (219) 326-1234 96130 - Psych tst eval phys/qhp 1st $98.34 $298.00 $202.75–$931.06 67% Apr 1, 2026
source file

Outpatient: lowest $98.34, median $98.34, highest $98.34.

As an inpatient, the same code is billed by 1 facility here, median $170.64. 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 and below every plan's rate. 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.