Doctor visits and therapy CPT 96130 Inpatient — admitted to hospital

Psychological testing, 1st hour cost in Wausau, WI — inpatient

In Wausau, WI, 2 hospitals list a cash price for psychological testing evaluation by a psychologist or physician, first hour as an inpatient: from $153.90 to $325.65, with a median of $239.78. The lowest listed price is at Marshfield Medical Center - Weston — $85.88 less than the median here. Across Wisconsin, the median is $250.49 at 39 hospitals.

Cash prices at 2 facilities across 2 cities for code 96130, as an inpatient (admitted to hospital) . Collected Sep 24, 2026; the hospital files themselves were last updated between Feb 20, 2026 and Apr 1, 2026.

Lowest$153.90Marshfield Medical Center - Weston
Median$239.78half pay less
Highest$325.65in this market
Difference2.1×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 Wausau, WI.

median
Lowest $153.90Highest $525.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Marshfield Medical Center - Weston lowest Weston, WI · (715) 393-3000 PSYCH TST EVAL;1ST HR-TECH $153.90 $162.00 $89.10–$157.14 5% Feb 20, 2026
source file
Aspirus Wausau Hospital Wausau, WI · (715) 847-2000 Fac Psychological Tst Eval Svc Phys/Qhp First Hour $325.65 $501.00 — 35% Apr 1, 2026
source file
Aspirus Wausau Hospital Wausau, WI · (715) 847-2000 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR $525.20 $808.00 — 35% Apr 1, 2026
source file

Inpatient: lowest $153.90, median $239.78, highest $325.65 — a 2.1× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $239.78 — that is the price to compare if you are not being admitted.

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.