Doctor visits and therapy CPT 96130 Inpatient — admitted to hospital

Psychological testing, 1st hour cost in Portland, ME — inpatient

In Portland-South Portland, ME, 4 hospitals list a cash price for psychological testing evaluation by a psychologist or physician, first hour as an inpatient: from $66.04 to $246.00, with a median of $166.73. The lowest listed price is at Mercy Hospital — $100.69 less than the median here. Across Maine, the median is $96.60 at 7 hospitals.

Cash prices at 4 facilities across 3 cities for code 96130, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Aug 12, 2025 and Sep 9, 2025.

Lowest$66.04Mercy Hospital
Median$166.73half pay less
Highest$246.00in this market
Difference3.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-South Portland, ME.

median
Lowest $66.04Highest $314.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital lowest Portland, ME PF PSYCL TEST 1ST HOUR $66.04 $254.00 $165.10–$189.48 74% —
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York Hospital York, ME · (207) 351-2478 PSYCL TST EVAL PHYS/QHP 1ST $96.60 $161.00 — 40% —
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Mercy Hospital Portland, ME HC PSYCL TEST 1ST HOUR $147.68 $568.00 $369.20–$423.73 74% —
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MaineHealth Portland, ME · (207) 662-0111 PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR $236.85 $236.85 $104.88–$231.28 — Sep 9, 2025
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MaineHealth Westbrook, ME PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR $246.00 $246.00 $104.88–$231.28 — Aug 12, 2025
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MaineHealth Portland, ME · (207) 662-0111 HC PSYCH TESTING EVAL PHYS/QHP 1ST HR $288.15 $288.15 $211.96–$270.86 — Sep 9, 2025
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MaineHealth Westbrook, ME HC PSYCH TESTING EVAL PHYS/QHP 1ST HR $314.90 $314.90 $267.67–$296.01 — Aug 12, 2025
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Inpatient: lowest $66.04, median $166.73, highest $246.00 — a 3.7× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $166.73 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.