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
Psychological Tst Eval Svc Phys/Qhp Ea Addl Hour
Low
$76
Average
$345
Median
$115
High
$2.3k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 7.0× 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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40 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $248 | $248 | — | — | 2–20 | $248 – $248 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $122 | $115 | $26 | 23% | — | $73 – $143 |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $122 | $115 | $26 | 23% | — | $73 – $143 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $122 | $115 | $26 | 23% | — | $73 – $143 |
| 7 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $122 | $115 | $26 | 23% | — | $73 – $143 |
| 8 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $1.5k | $1.5k | $69 | 5% | — | $1.4k – $1.6k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $116 | $100 | $22 | 22% | — | $68 – $116 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $136 | $114 | $32 | 28% | — | $68 – $136 |
| 14 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 3 | $143 | $125 | $32 | 26% | — | $69 – $143 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1.8k | $1.8k | $876 | 49% | — | $928 – $2.7k |
| 18 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $604 | $604 | — | — | — | $604 – $604 |
| 19 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 20 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 4 | $122 | $115 | $26 | 23% | — | $73 – $143 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 22 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $313 | $313 | $35 | 11% | — | $278 – $348 |
| 23 | Samaritan Hospital Troy, NY facility · other · both | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Payers reporting CPT 96131 · Snapshot 20261112T181611Z-3fa9fb76