Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Assessment Emotional/Behavioral per Instrument Brief
Low
$3
Average
$63
Median
$38
High
$6.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1070 hospitals; the 90th percentile is 8.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
1,812 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $26 | $26 | — | — | 1,152 | $26 – $26 |
| 2 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 2 | $8 | $7 | $1 | 22% | 450 | $5 – $8 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $97 | $95 | $19 | 20% | 321–330 | $71 – $118 |
| 4 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 2 | $4 | $4 | — | — | 310 | $4 – $4 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 5 | $4 | $4 | $0 | 3% | 310–319 | $4 – $5 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 5 | $10 | $8 | $3 | 32% | 303 | $5 – $11 |
| 7 | St Peters Hospital Albany, NY professional · fee schedule · both | 2 | $8 | $7 | $2 | 24% | 237 | $5 – $8 |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $25 | $32 | $17 | 52% | 224 | $18 – $65 |
| 9 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $23 | $30 | $16 | 52% | 224 | $17 – $61 |
| 10 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 2 | $7 | $8 | $1 | 16% | 213 | $7 – $10 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $44 | $36 | 81% | 175–202 | $18 – $120 |
| 12 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 4 | $8 | $8 | $3 | 36% | 172 | $5 – $11 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 5 | $4 | $5 | $1 | 27% | 162–180 | $3 – $6 |
| 14 | Samaritan Hospital Troy, NY professional · fee schedule · both | 2 | $8 | $7 | $2 | 24% | 105 | $5 – $8 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · other · both | 1 | $36 | $36 | — | — | 104 | $36 – $36 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · other · outpatient | 1 | $83 | $83 | $47 | 56% | 104 | $36 – $130 |
| 17 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $10 | $9 | $2 | 29% | 101–110 | $5 – $10 |
| 18 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $16 | $16 | — | — | 97 | $16 – $16 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $61 | $61 | $2 | 4% | 86 | $59 – $63 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 1 | $37 | $37 | — | — | 69 | $37 – $37 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · outpatient | 1 | $131 | $99 | $44 | 45% | 69 | $37 – $131 |
| 22 | City Hospital, Inc. Martinsburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | 60–69 | $132 – $132 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $8 | $8 | $3 | 44% | 53 | $4 – $11 |
| 24 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $4 | $5 | $1 | 27% | 53–62 | $3 – $6 |
| 25 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $17 | $17 | — | — | 41 | $17 – $17 |
← Payers reporting CPT 96127 · Snapshot 20261111T120946Z-9134e7f7