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 PSY OR NSY TST ADMIN BY TECH EA 30 MIN
Low
$7
Average
$48
Median
$39
High
$93
Each hospital's average Premera rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 6.4× 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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16 hospital rates
iThe hospitals that file a Premera 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 3 | $69 | $69 | — | — | 449 | $69 – $69 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 8 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $116 | $113 | $19 | 17% | — | $92 – $141 |
| 10 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 13 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | Sunnyview Rehab Hospital Schenectady, NY facility · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $60 | $60 | $17 | 28% | — | $43 – $77 |
← Payers reporting CPT 96139 · Snapshot 20261111T120946Z-9134e7f7