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
$4
Average
$35
Median
$14
High
$385
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 15.1× 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
100 hospital rates
iThe hospitals that file a Excellus 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 36–45 | $12 – $12 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 20 | $12 – $12 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $8 | $8 | $3 | 36% | 1–10 | $4 – $11 |
| 4 | MVHS, Inc. Utica, NY other · outpatient | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $5 | $5 | $2 | 33% | 1–10 | $3 – $6 |
| 6 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $4 | $5 | $1 | 25% | 1–10 | $4 – $7 |
| 7 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $10 | $9 | $3 | 29% | 1–10 | $5 – $11 |
| 8 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 2 | $71 | $71 | $31 | 43% | 1–10 | $40 – $102 |
| 9 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · both | 3 | $8 | $8 | $2 | 27% | 1–10 | $5 – $10 |
| 10 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 11 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 2 | $58 | $58 | $21 | 36% | — | $37 – $79 |
| 12 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $5 | $5 | $1 | 13% | — | $4 – $5 |
| 13 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $28 | $28 | $24 | 87% | — | $4 – $52 |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $33 | $33 | $29 | 87% | — | $4 – $62 |
| 19 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 20 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 2 | $5 | $5 | $1 | 13% | — | $4 – $5 |
| 21 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 5 | $5 | $30 | $45 | 152% | — | $3 – $129 |
| 22 | Highland Hospital Rochester, NY fee schedule · outpatient | 8 | $65 | $61 | $40 | 66% | — | $20 – $153 |
| 23 | Holy Cross Germantown Hospital Germantown, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
← Payers reporting CPT 96127 · Snapshot 20261111T120946Z-9134e7f7