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 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR
Low
$5
Average
$324
Median
$252
High
$6.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
974 hospitals; the 90th percentile is 3.6× 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
1,446 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $416 | $408 | $83 | 20% | 52 | $302 – $505 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $152 | $196 | $103 | 52% | 44 | $110 – $396 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $144 | $186 | $97 | 52% | 44 | $105 – $375 |
| 4 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $505 | $505 | — | — | 31 | $505 – $505 |
| 5 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 25 | $304 | $312 | $40 | 13% | 30–39 | $304 – $506 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $516 | $523 | $14 | 3% | 19–37 | $516 – $550 |
| 7 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $678 | $678 | — | — | 13 | $678 – $678 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $733 | $379 | 52% | 13 | $247 – $1.2k |
| 9 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $145 | $145 | — | — | 4–40 | $145 – $145 |
| 10 | City Hospital, Inc. Martinsburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | 3–30 | $281 – $281 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 3–30 | $1.0k – $1.0k |
| 12 | McLean Hospital Belmont, MA percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | $107 | 53% | 2–20 | $95 – $309 |
| 13 | Salem Hospital Salem, MA other · both | 1 | $500 | $500 | — | — | 2–20 | $500 – $500 |
| 14 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $302 | $302 | $27 | 9% | 2–20 | $275 – $329 |
| 15 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 16 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 17 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 18 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 19 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 20 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $917 | $917 | — | — | 1–10 | $917 – $917 |
| 21 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $377 | $377 | $22 | 6% | 1–10 | $355 – $399 |
| 22 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $654 | $701 | $125 | 18% | — | $560 – $934 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $131 | $131 | $32 | 25% | — | $99 – $164 |
← Payers reporting CPT 96130 · Snapshot 20261111T120946Z-9134e7f7