Brief emotional or behavioral screening questionnaire

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Assessment Emotional/Behavioral per Instrument Brief

Regence pricing summary

Low

Average

$65

Median

$60

High

$439

Regence rate distribution

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206 hospital rates

#		Plans
1	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both	3	$9	$8	$1	6%	316–325	$8 – $9
2	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	2	$6	$6	$1	21%	4–40	$4 – $6
3	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	2	$8	$7	$2	24%	2–20	$4 – $8
4	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both	2	$6	$6	$1	21%	2–20	$4 – $6
5	Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both	2	$7	$6	$1	19%	2–20	$4 – $7
6	St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	2–20	$12 – $12
7	The Mercy Hospital Inc Springfield, MA professional · fee schedule · both	2	$8	$7	$2	21%	2–20	$5 – $8
8	Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges	1	$11	$11	—	—	1–10	$11 – $11
9	Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both	2	$10	$9	$2	27%	1–10	$5 – $10
10	Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	1–10	$12 – $12
11	St Mary Mercy Livonia Livonia, MI professional · fee schedule · both	2	$7	$7	$1	18%	1–10	$5 – $7
12	ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient	1	$135	$135	—	—	—	$135 – $135
13	ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient	14	$12	$10	$4	39%	—	$5 – $15
14	CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient	4	$61	$60	$10	16%	—	$45 – $71
15	CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient	4	$61	$60	$10	16%	—	$45 – $71
16	CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient	4	$61	$60	$10	16%	—	$45 – $71
17	CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient	4	$61	$60	$10	16%	—	$45 – $71
18	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	4	$61	$60	$10	16%	—	$45 – $71
19	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient	3	$10	$21	$18	89%	—	$6 – $47
20	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	3	$10	$21	$18	89%	—	$6 – $47
21	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	2	$14	$14	$6	42%	—	$8 – $20
22	Columbia Lutheran Charities Astoria, OR professional · fee schedule · both	2	$7	$7	$1	19%	—	$6 – $9
23	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both	1	$38	$38	—	—	—	$38 – $38
24	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
25	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$8	$8	—	—	—	$8 – $8

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← Payers reporting CPT 96127 · Snapshot 20261111T120946Z-9134e7f7

CPT 96127