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
$36
Median
$15
High
$1.3k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
116 hospitals; the 90th percentile is 12.1× 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.
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226 hospital rates
iThe hospitals that file a Medica 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $34 | $34 | $1 | 2% | 55–91 | $33 – $35 |
| 2 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $36 | $36 | $1 | 2% | 30–66 | $34 – $37 |
| 3 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 6 | $36 | $36 | $1 | 2% | 17–35 | $34 – $37 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 5 | $36 | $36 | $1 | 2% | 15–33 | $34 – $37 |
| 5 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 9 | $35 | $32 | $6 | 20% | 2–20 | $20 – $37 |
| 6 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $73 | $72 | $14 | 20% | 2–20 | $27 – $83 |
| 7 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $54 | $31 | 57% | 2–20 | $29 – $98 |
| 8 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 8% | 1–10 | $4 – $5 |
| 9 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 9 | $34 | $31 | $7 | 23% | 1–10 | $20 – $37 |
| 10 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 9 | $34 | $30 | $8 | 28% | 1–10 | $17 – $37 |
| 11 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $4 | $4 | $1 | 17% | 1–10 | $3 – $5 |
| 12 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 7 | $80 | $72 | $16 | 22% | 1–10 | $27 – $83 |
| 13 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 14 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $4 | $5 | $2 | 47% | — | $3 – $8 |
| 15 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $4 | $5 | $2 | 47% | — | $3 – $8 |
| 16 | Amery Hospital Amery, WI facility · fee schedule · both | 2 | $8 | $7 | $1 | 18% | — | $5 – $8 |
| 17 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $8 | $8 | $5 | 56% | — | $4 – $13 |
| 19 | Astera Health Wadena, MN per diem · inpatient | 3 | $3.4k | $4.0k | $792 | 20% | — | $3.4k – $5.1k |
| 20 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 2 | $457 | $457 | $450 | 99% | — | $7 – $907 |
| 21 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 5 | $5 | $6 | $2 | 32% | — | $4 – $9 |
| 22 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 8% | — | $26 – $30 |
| 23 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 2 | $27 | $27 | $3 | 9% | — | $25 – $30 |
| 24 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $3 | 10% | — | $25 – $30 |
| 25 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 8% | — | $26 – $30 |
← Payers reporting CPT 96127 · Snapshot 20261111T120946Z-9134e7f7