What does code 96130 cost?

Across the published hospital price files, the disclosed cash price for 96130 ranges from $3.10 to $561. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

96130 is the billing code hospitals use to identify "Psycl tst eval phys/qhp 1st" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

96130

HCPCS

Psycl tst eval phys/qhp 1st

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 96130 (Psycl tst eval phys/qhp 1st) appears at 10 hospitals with disclosed cash prices from $3.10 to $561. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 96130 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 96130 vary by about 181× across the 6 hospitals with disclosed prices here — from $3.10 to $561. Shopping around can matter.

Hospitals

Prices shown

$3.10

Lowest cash

$561

Highest cash

code 96130 cash price6 disclosed · 6 hospitals

$3.10median ~$450$561

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$3.10 – $561

Santa Monica · 1 hospital$3.10
Lubbock · 1 hospital$159
Berlin · 1 hospital$439
Baltimore · 1 hospital$461
Everett · 1 hospital$515
Hood River · 1 hospital$561

17 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Psycl tst eval phys/qhp 1st Outpatient	Endeavor Health Edward Hospital	96130 HCPCS	—	—	$231 – $394	—
Hc Psycl Tst Eval Phys/Qhp 1St Hour-Pbb Inpatient & outpatient	University of Chicago Medical Center	96130 HCPCS	—	—	—	—
Pr Psychological Tst Eval Svc Phys/Qhp First Hour-Pbb Inpatient & outpatient	University of Chicago Medical Center	96130 HCPCS	—	—	—	—
Psycl tst eval phys/qhp 1st Outpatient	University of Chicago Medical Center	96130 HCPCS	—	—	—	—
HC PSYCHOLOGICAL TEST EVAL QHP 1ST HR CDM Outpatient	Providence Saint John's Health Center	96130 HCPCS	$8.86	$3.10	—	—
OUTPATIENT PSYCHIATRIC - PSYCHOLOGICAL TESTING-PSYCH TEST EVAL BY PHYSICIAN OR QUALIFIED PROF-1ST HOUR Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
PSYCH TEST EVAL BY PHYSICIAN OR QUALIFIED PROF-1ST HOUR Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
02-Telehealth Provided Other than in Patient s Home-Psycl tst eval phys qhp 1st Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
02-Telehealth Provided Other than in Patient s Home-Psycl tst eval phys qhp 1st Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
10-Telehealth Provided in Patient s Home-Psycl tst eval phys qhp 1st Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
10-Telehealth Provided in Patient s Home-Psycl tst eval phys qhp 1st Inpatient & outpatient	Jefferson Abington Hospital	96130 CPT	—	—	$86.82 – $253	—
HC PSYCHOLOGICAL TEST EVAL QHP 1ST HR CDM Inpatient & outpatient	Providence Hood River Memorial Hospital	96130 HCPCS	$748	$561	—	—
HC PSYCL TST EVAL PHYS QHP 1ST Outpatient	Montefiore Medical Center	96130 CPT	$884	—	$97.50 – $1,108	—
HC PSYCHOLOGICAL TEST EVAL QHP 1ST HR CDM Outpatient	Covenant Medical Center	96130 HCPCS	$378	$159	—	—
HC PSYCHOLOGICAL TEST EVAL QHP 1ST HR CDM Inpatient & outpatient	Providence Regional Medical Center Everett - Colby Campus	96130 HCPCS	$990	$515	—	—
HC PSYCH TESTING EVAL SERVICES 1ST HOUR Outpatient	University of Maryland Medical Center	96130 CPT	$470	$461	$461 – $470	—
PR PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR Inpatient & outpatient	Central Vermont Medical Center	96130 CPT	$439	$439	$102 – $351	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 96130 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Providence Saint John's Health Center Jefferson Abington Hospital Providence Hood River Memorial Hospital Montefiore Medical Center Covenant Medical Center Providence Regional Medical Center Everett - Colby Campus University of Maryland Medical Center Central Vermont Medical Center

Code 96130: frequently asked

What does code 96130 cost?: Across the published hospital price files, the disclosed cash price for 96130 ranges from $3.10 to $561. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 96130?: 96130 is the billing code hospitals use to identify "Psycl tst eval phys/qhp 1st" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 96130 by state

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