Doctor visits and therapy CPT 96130 254 markets

Psychological testing, 1st hour cost without insurance

The median hospital cash price for psychological testing evaluation by a psychologist or physician, first hour is $310.95 across 596 US hospitals; most list between $135.88 and $764.25. The lowest outpatient cash price in any of 254 markets is $31.32. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file All Therapy session costs

Lowest$31.32any market
Median market$272.85middle of market medians
Most below$764.259 in 10 hospitals
Listings594hospital prices

Compared with Medicare

$220.60 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $310.95 across 596 hospitals, is 1.4× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for psychological testing, 1st hour, the highest negotiated rate in a hospital's file has a median of $552.74 and the lowest a median of $104.10. At 333 of 366 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 96130?

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.

Why prices differ

Prices depend on how many hours the evaluation takes and the setting; hospital-based programs and academic centers price differently from private practices.

What to ask

Ask whether the self-pay price for CPT 96130 covers only the first hour, and how many total hours and test-administration charges a typical evaluation bills.

Prices by state

Among 29 states with at least 5 hospitals listing a cash price, the median is lowest in Kansas ($131.75), Mississippi ($135.88) and Indiana ($138.14), and highest in Idaho ($894.00), California ($673.40) and Pennsylvania ($577.04).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Abilene, KS single city 1 $312.70 $312.70 $312.70 1.0×
Abilene, TX 2 $672.57 $672.57 $672.57 1.0×
Ahoskie, NC single city 1 $249.20 $249.20 $249.20 1.0×
Akron, OH 4 $316.50 $383.25 $607.10 1.9×
Albany, OR 2 $272.00 $272.00 $272.00 1.0×
Albany-Schenectady-Troy, NY 2 $363.35 $363.35 $363.35 1.0×
Albemarle, NC 1 $171.50 $171.50 $171.50 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $545.16 $545.16 $545.16 1.0×
Altoona, PA 1 $1,604.00 $1,604.00 $1,604.00 1.0×
Amory, MS single city 1 $135.88 $135.88 $135.88 1.0×
Ann Arbor, MI 2 $123.20 $150.98 $178.75 1.5×
Antigo, WI single city 1 $325.65 $325.65 $325.65 1.0×
Appleton, MN single city 1 $273.70 $273.70 $273.70 1.0×
Appleton, WI 2 $250.49 $250.49 $250.49 1.0×
Asheville, NC 2 $214.68 $507.34 $800.00 3.7×
Atlanta-Sandy Springs-Roswell, GA 9 $228.93 $228.93 $228.93 1.0×
Atlantic City-Hammonton, NJ 1 $279.37 $279.37 $279.37 1.0×
Augusta-Richmond County, GA-SC 2 $228.93 $394.73 $560.52 2.4×
Austin-Round Rock-San Marcos, TX 7 $233.73 $233.73 $233.73 1.0×
Baltimore-Columbia-Towson, MD 2 $320.45 $438.23 $556.00 1.7×
Bangor, ME 1 $141.33 $141.33 $141.33 1.0×
Bar Harbor, ME single city 1 $82.80 $82.80 $82.80 1.0×
Bay City, MI 1 $127.55 $127.55 $127.55 1.0×
Beatrice, NE 1 $215.00 $215.00 $215.00 1.0×
Beaver Dam, WI 1 $153.90 $153.90 $153.90 1.0×
Berlin, WI single city 1 $250.49 $250.49 $250.49 1.0×
Big Rapids, MI 1 $432.69 $432.69 $432.69 1.0×
Bishop, CA 1 $212.00 $212.00 $212.00 1.0×
Bismarck, ND 1 $213.50 $213.50 $213.50 1.0×
Bloomington, IL 1 $431.00 $431.00 $431.00 1.0×
Boise City, ID 3 $261.95 $894.00 $894.00 3.4×
Boston-Cambridge-Newton, MA-NH 9 $191.25 $464.00 $2,384.00 12.5×
Bozeman, MT 2 $103.20 $184.80 $266.40 2.6×
Brenham, TX 1 $319.10 $319.10 $319.10 1.0×
Brookville, PA single city 1 $1,604.00 $1,604.00 $1,604.00 1.0×
Brownwood, TX 1 $557.24 $557.24 $557.24 1.0×
Buffalo-Cheektowaga, NY 2 $361.02 $410.51 $460.00 1.3×
Cades, SC single city 1 $131.50 $131.50 $131.50 1.0×
Camden, AR 1 $243.56 $243.56 $243.56 1.0×
Canton-Massillon, OH 2 $150.75 $378.93 $607.10 4.0×
Cape Coral-Fort Myers, FL 4 $142.80 $142.80 $142.80 1.0×
Cape Girardeau, MO-IL 1 $919.00 $919.00 $919.00 1.0×
Carlsbad-Artesia, NM 1 $203.40 $203.40 $203.40 1.0×
Carroll, IA 1 $318.00 $318.00 $318.00 1.0×
Cedar Rapids, IA single city 1 $635.10 $635.10 $635.10 1.0×
Champaign-Urbana, IL 1 $630.00 $630.00 $630.00 1.0×
Charleston-Mattoon, IL 1 $40.00 $40.00 $40.00 1.0×
Charleston-North Charleston, SC 1 $162.00 $162.00 $162.00 1.0×
Charlotte-Concord-Gastonia, NC-SC 8 $171.50 $171.50 $171.50 1.0×
Charlottesville, VA 1 $231.00 $231.00 $231.00 1.0×
Chicago-Naperville-Elgin, IL-IN 18 $75.62 $314.00 $805.00 10.6×
Cincinnati, OH-KY-IN 6 $286.11 $423.75 $439.80 1.5×
Clarinda, IA single city 1 $338.25 $338.25 $338.25 1.0×
Cleveland, OH 19 $243.00 $607.10 $607.10 2.5×
Cody, WY 2 $210.00 $246.95 $283.90 1.4×
College Station-Bryan, TX 1 $306.83 $306.83 $306.83 1.0×
Columbia, MO 1 $247.20 $247.20 $247.20 1.0×
Columbus, IN 1 $292.00 $292.00 $292.00 1.0×
Columbus, OH 2 $315.90 $383.39 $450.88 1.4×
Comanche, TX single city 1 $235.72 $235.72 $235.72 1.0×
Corpus Christi, TX 1 $215.20 $215.20 $215.20 1.0×
Corvallis, OR 1 $272.00 $272.00 $272.00 1.0×
Dallas-Fort Worth-Arlington, TX 27 $265.20 $352.97 $1,439.66 5.4×
Dayton-Kettering-Beavercreek, OH 1 $347.90 $347.90 $347.90 1.0×
Decatur, IL 1 $672.48 $672.48 $672.48 1.0×
Denver-Aurora-Centennial, CO 3 $179.10 $434.92 $633.75 3.5×
Des Moines-West Des Moines, IA 1 $350.00 $350.00 $350.00 1.0×
Detroit-Warren-Dearborn, MI 13 $128.20 $645.00 $645.00 5.0×
DuBois, PA 2 $1,604.00 $1,604.00 $1,604.00 1.0×
Duluth, MN-WI 5 $272.54 $288.42 $288.42 1.1×
Duncan, OK 1 $634.88 $634.88 $634.88 1.0×
Eagle River, WI single city 1 $325.65 $325.65 $325.65 1.0×
Eau Claire, WI 2 $153.90 $239.78 $325.65 2.1×
El Paso, TX 1 $73.60 $73.60 $73.60 1.0×
Elizabeth City, NC 1 $231.00 $231.00 $231.00 1.0×
Erie, PA 1 $449.50 $449.50 $449.50 1.0×
Fairbanks-College, AK 1 $446.18 $446.18 $446.18 1.0×
Fargo, ND-MN 1 $292.00 $292.00 $292.00 1.0×
Faribault-Northfield, MN 1 $99.85 $99.85 $99.85 1.0×
Farmington, CT single city 1 $501.00 $501.00 $501.00 1.0×
Fayetteville-Springdale-Rogers, AR 1 $347.60 $347.60 $347.60 1.0×
Fergus Falls, MN 1 $177.45 $177.45 $177.45 1.0×
Flagstaff, AZ 1 $429.51 $429.51 $429.51 1.0×
Flint, MI 1 $128.20 $128.20 $128.20 1.0×
Fond du Lac, WI 1 $250.49 $250.49 $250.49 1.0×
Fort Wayne, IN 1 $60.20 $60.20 $60.20 1.0×
Fremont, MI single city 1 $432.69 $432.69 $432.69 1.0×
Fresno, CA 1 $828.80 $828.80 $828.80 1.0×
Glasgow, MT single city 1 $310.50 $310.50 $310.50 1.0×
Grand Rapids-Wyoming-Kentwood, MI 6 $140.40 $432.69 $433.00 3.1×
Green Bay, WI 1 $317.62 $317.62 $317.62 1.0×
Greenville, NC 1 $364.11 $364.11 $364.11 1.0×
Greenwood, SC 2 $560.52 $607.23 $653.94 1.2×
Hailey, ID 1 $894.00 $894.00 $894.00 1.0×
Hallock, MN single city 1 $249.00 $249.00 $249.00 1.0×
Hamilton, AL single city 1 $135.88 $135.88 $135.88 1.0×
Harrisburg-Carlisle, PA 2 $483.53 $577.04 $670.55 1.4×
Harrisonburg, VA 1 $231.00 $231.00 $231.00 1.0×
Hartford, CT single city 2 $472.00 $545.65 $619.30 1.3×
Hood River, OR 1 $561.00 $561.00 $561.00 1.0×
Houghton, MI 1 $325.65 $325.65 $325.65 1.0×
Houston-Pasadena-The Woodlands, TX 21 $234.88 $259.12 $553.08 2.4×
Huntingdon, PA 1 $1,604.00 $1,604.00 $1,604.00 1.0×
Huntington-Ashland, WV-KY-OH 2 $147.41 $208.43 $269.45 1.8×
Idaho Falls, ID single city 1 $639.05 $639.05 $639.05 1.0×
Indianapolis-Carmel-Greenwood, IN 4 $138.14 $145.02 $649.80 4.7×
Iowa City, IA 2 $408.10 $408.10 $408.10 1.0×
Iron River, MI single city 1 $325.65 $325.65 $325.65 1.0×
Ironwood, MI single city 1 $325.65 $325.65 $325.65 1.0×
Ithaca, NY 1 $151.31 $151.31 $151.31 1.0×
Iuka, MS single city 1 $135.88 $135.88 $135.88 1.0×
Janesville-Beloit, WI 1 $165.45 $165.45 $165.45 1.0×
Kalispell, MT 1 $97.50 $97.50 $97.50 1.0×
Killeen-Temple, TX 4 $306.83 $319.10 $907.52 3.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $269.53 $269.53 $269.53 1.0×
Knoxville, TN 1 $73.92 $73.92 $73.92 1.0×
La Crosse-Onalaska, WI-MN 1 $135.20 $135.20 $135.20 1.0×
Ladysmith, WI single city 1 $153.90 $153.90 $153.90 1.0×
LaGrange, GA-AL 1 $228.93 $228.93 $228.93 1.0×
Lakeland-Winter Haven, FL 1 $156.60 $156.60 $156.60 1.0×
Lansing-East Lansing, MI 1 $128.20 $128.20 $128.20 1.0×
Lewiston-Auburn, ME 1 $239.78 $239.78 $239.78 1.0×
Lexington-Fayette, KY 3 $194.35 $247.74 $280.19 1.4×
Liberty, KY single city 1 $138.40 $138.40 $138.40 1.0×
Lima, OH 1 $332.10 $332.10 $332.10 1.0×
Livingston, MT single city 1 $358.15 $358.15 $358.15 1.0×
Logansport, IN 1 $60.20 $60.20 $60.20 1.0×
Los Angeles-Long Beach-Anaheim, CA 13 $205.44 $673.40 $2,580.01 12.6×
Lousiana, MO single city 1 $200.00 $200.00 $200.00 1.0×
Lubbock, TX 2 $158.76 $158.76 $158.76 1.0×
Ludington, MI 1 $432.69 $432.69 $432.69 1.0×
Madison, WI 1 $325.65 $325.65 $325.65 1.0×
Manhattan, KS 1 $83.60 $83.60 $83.60 1.0×
Marble Falls, TX single city 1 $306.83 $306.83 $306.83 1.0×
Marietta, OH 2 $78.92 $171.61 $264.29 3.3×
Marquette, MI 1 $503.98 $503.98 $503.98 1.0×
Mason City, IA 1 $208.00 $208.00 $208.00 1.0×
Massena-Ogdensburg, NY 3 $343.10 $344.91 $349.84 1.0×
McAllen-Edinburg-Mission, TX 1 $247.40 $247.40 $247.40 1.0×
McCall, ID single city 1 $894.00 $894.00 $894.00 1.0×
McPherson, KS 1 $224.00 $224.00 $224.00 1.0×
Meadville, PA 1 $111.60 $111.60 $111.60 1.0×
Medford, WI single city 1 $325.65 $325.65 $325.65 1.0×
Memphis, TN-MS-AR 4 $188.32 $188.32 $188.32 1.0×
Merrill, WI single city 1 $325.65 $325.65 $325.65 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 8 $146.30 $875.07 $990.93 6.8×
Milwaukee-Waukesha, WI 1 $76.31 $76.31 $76.31 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 8 $78.10 $98.43 $155.40 2.0×
Minocqua, WI single city 1 $153.90 $153.90 $153.90 1.0×
Minot, ND 2 $320.00 $320.00 $320.00 1.0×
Moab, UT single city 1 $107.36 $107.36 $107.36 1.0×
Modesto, CA 1 $828.80 $828.80 $828.80 1.0×
Morehead, KY single city 1 $346.50 $346.50 $346.50 1.0×
Morris, MN single city 1 $151.50 $151.50 $151.50 1.0×
Moscow, ID 1 $252.00 $252.00 $252.00 1.0×
Mount Vernon-Anacortes, WA 1 $279.20 $279.20 $279.20 1.0×
Muskegon-Norton Shores, MI 1 $263.25 $263.25 $263.25 1.0×
Nacogdoches, TX 1 $68.00 $68.00 $68.00 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $113.10 $191.54 $269.97 2.4×
Neillsville, WI single city 1 $153.90 $153.90 $153.90 1.0×
New London, WI single city 1 $250.49 $250.49 $250.49 1.0×
New Orleans-Metairie, LA 3 $63.36 $220.59 $270.16 4.3×
New Philadelphia-Dover, OH 1 $607.10 $607.10 $607.10 1.0×
New York-Newark-Jersey City, NY-NJ 54 $96.20 $344.83 $13,598.00 141.4×
Newport, OR 2 $272.00 $272.00 $272.00 1.0×
Nome, AK single city 1 $307.00 $307.00 $307.00 1.0×
Northridge, CA single city 1 $141.61 $141.61 $141.61 1.0×
Oil City, PA 1 $126.00 $126.00 $126.00 1.0×
Omaha, NE-IA 2 $243.75 $243.75 $243.75 1.0×
Oneonta, NY 2 $31.32 $136.89 $242.46 7.7×
Orangeburg, SC 1 $162.00 $162.00 $162.00 1.0×
Orlando-Kissimmee-Sanford, FL 1 $864.00 $864.00 $864.00 1.0×
Oshkosh-Neenah, WI 2 $250.49 $250.49 $250.49 1.0×
Owatonna, MN 1 $99.85 $99.85 $99.85 1.0×
Park Falls, WI single city 1 $153.90 $153.90 $153.90 1.0×
Peoria, IL 1 $431.00 $431.00 $431.00 1.0×
Petoskey, MI 1 $128.20 $128.20 $128.20 1.0×
Phillipsburg, KS single city 1 $124.10 $124.10 $124.10 1.0×
Phoenix-Mesa-Chandler, AZ 2 $264.97 $519.16 $773.34 2.9×
Pittsburgh, PA 2 $265.20 $345.00 $424.80 1.6×
Pontotoc, MS single city 1 $135.88 $135.88 $135.88 1.0×
Portland-South Portland, ME 2 $147.68 $246.59 $345.50 2.3×
Portland-Vancouver-Hillsboro, OR-WA 5 $252.20 $265.20 $265.20 1.1×
Prescott Valley-Prescott, AZ 1 $294.58 $294.58 $294.58 1.0×
Providence-Warwick, RI-MA 5 $225.75 $455.00 $455.00 2.0×
Punxsutawney, PA single city 1 $387.00 $387.00 $387.00 1.0×
Raleigh-Cary, NC 2 $205.20 $205.20 $205.20 1.0×
Reed City, MI single city 1 $432.69 $432.69 $432.69 1.0×
Reno, NV 1 $497.00 $497.00 $497.00 1.0×
Rhinelander, WI single city 1 $325.65 $325.65 $325.65 1.0×
Rice Lake, WI 1 $153.90 $153.90 $153.90 1.0×
Richmond, VA 1 $197.40 $197.40 $197.40 1.0×
Richmond-Berea, KY 1 $82.84 $82.84 $82.84 1.0×
Riverside-San Bernardino-Ontario, CA 4 $673.40 $673.40 $673.40 1.0×
Rochester, NY 5 $341.19 $341.19 $1,274.15 3.7×
Rockford, IL 1 $173.72 $173.72 $173.72 1.0×
Roseau, MN single city 1 $282.48 $282.48 $282.48 1.0×
Sacramento-Roseville-Folsom, CA 3 $828.80 $828.80 $828.80 1.0×
Salem, OR 2 $267.65 $267.65 $267.65 1.0×
Salt Lake City-Murray, UT 1 $310.17 $310.17 $310.17 1.0×
San Diego-Chula Vista-Carlsbad, CA 11 $61.50 $673.40 $1,139.25 18.5×
San Francisco-Oakland-Fremont, CA 12 $650.00 $828.80 $828.80 1.3×
San Jose-Sunnyvale-Santa Clara, CA 4 $229.25 $740.00 $828.80 3.6×
Santa Rosa-Petaluma, CA 1 $828.80 $828.80 $828.80 1.0×
Seattle-Tacoma-Bellevue, WA 6 $198.90 $219.36 $514.80 2.6×
Shawano, WI 1 $250.49 $250.49 $250.49 1.0×
Sheboygan, WI 1 $235.00 $235.00 $235.00 1.0×
Shelby-Kings Mountain, NC 1 $171.50 $171.50 $171.50 1.0×
Shelbyville, TN 1 $113.10 $113.10 $113.10 1.0×
Sistersville, WV single city 1 $243.14 $243.14 $243.14 1.0×
South Boston, VA single city 1 $231.00 $231.00 $231.00 1.0×
Springfield, IL 1 $672.48 $672.48 $672.48 1.0×
St. Joseph, MO-KS 2 $212.50 $212.50 $212.50 1.0×
St. Louis, MO-IL 1 $358.80 $358.80 $358.80 1.0×
St. Marys, PA 1 $1,604.00 $1,604.00 $1,604.00 1.0×
Staples, MN single city 1 $176.08 $176.08 $176.08 1.0×
Starkville, MS 1 $135.88 $135.88 $135.88 1.0×
Stevens Point-Plover, WI 3 $153.90 $325.65 $325.65 2.1×
Stockton-Lodi, CA 1 $828.80 $828.80 $828.80 1.0×
Suffolk, VA single city 1 $305.50 $305.50 $305.50 1.0×
Tampa-St. Petersburg-Clearwater, FL 2 $284.90 $637.88 $990.86 3.5×
Temple, TX single city 1 $319.10 $319.10 $319.10 1.0×
Toledo, OH 1 $236.40 $236.40 $236.40 1.0×
Tomahawk, WI single city 1 $325.65 $325.65 $325.65 1.0×
Traverse City, MI 1 $496.40 $496.40 $496.40 1.0×
Truckee-Grass Valley, CA 1 $497.00 $497.00 $497.00 1.0×
Tullahoma-Manchester, TN 1 $113.10 $113.10 $113.10 1.0×
Tupelo, MS 1 $135.88 $135.88 $135.88 1.0×
Twin Falls, ID 1 $894.00 $894.00 $894.00 1.0×
Two Harbors, MN single city 1 $412.32 $412.32 $412.32 1.0×
Tyler, TX 1 $46.20 $46.20 $46.20 1.0×
Utica-Rome, NY 1 $253.20 $253.20 $253.20 1.0×
Vallejo, CA 2 $828.80 $828.80 $828.80 1.0×
Vernal, UT 1 $503.98 $503.98 $503.98 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 7 $305.50 $305.50 $361.60 1.2×
Visalia, CA 1 $219.00 $219.00 $219.00 1.0×
Waco, TX 1 $306.83 $306.83 $306.83 1.0×
Wakeeney, KS single city 1 $131.75 $131.75 $131.75 1.0×
Washington, NC 1 $364.11 $364.11 $364.11 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 7 $305.50 $490.00 $490.00 1.6×
Waupaca, WI single city 1 $250.49 $250.49 $250.49 1.0×
Wausau, WI 2 $153.90 $239.78 $325.65 2.1×
Wenatchee-East Wenatchee, WA 2 $205.60 $395.30 $585.00 2.8×
West Point, MS single city 1 $135.88 $135.88 $135.88 1.0×
Wild Rose, WI single city 1 $250.49 $250.49 $250.49 1.0×
Winfield, AL single city 1 $135.88 $135.88 $135.88 1.0×
Winnsboro, LA single city 1 $141.00 $141.00 $141.00 1.0×
Winston-Salem, NC 2 $233.00 $239.50 $246.00 1.1×
Wisconsin Rapids-Marshfield, WI 2 $153.90 $239.78 $325.65 2.1×
Woodruff, WI single city 1 $325.65 $325.65 $325.65 1.0×
Worcester, MA 1 $387.00 $387.00 $387.00 1.0×
Ypsilanti, MI single city 1 $178.75 $178.75 $178.75 1.0×
Yuma, AZ 1 $235.95 $235.95 $235.95 1.0×
Zanesville, OH 1 $399.80 $399.80 $399.80 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 96130?

CPT 96130 is the billing code for psychological testing evaluation by a psychologist or physician, first hour. 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.

Is a full ADHD evaluation billed as one code?

Usually not. A full evaluation often combines an intake interview, test administration codes, this code and one or more additional hours (96131).

How is this different from neuropsychological testing?

Neuropsychological testing, which focuses on memory, attention and other brain functions after injury or illness, is billed with different codes (96132 and 96133).

How much does Medicare pay for CPT 96130 (Psychological testing, 1st hour)?

$220.60 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $310.95 across 596 hospitals, is 1.4× that.

Is it cheaper to pay cash or use insurance for psychological testing, 1st hour?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for psychological testing, 1st hour has a median of $552.74 and the lowest a median of $104.10; at 333 of 366 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest psychological testing, 1st hour?

Among 29 states with at least 5 hospitals listing a cash price, the median is lowest in Kansas ($131.75), Mississippi ($135.88) and Indiana ($138.14), and highest in Idaho ($894.00), California ($673.40) and Pennsylvania ($577.04). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other therapy session prices

Median hospital cash price, one per hospital.