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
$10
Average
$808
Median
$35
High
$25.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 8.7× 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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44 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $29 | $29 | $2 | 8% | — | $27 – $32 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 12 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 13 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 14 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 17 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $29 | $29 | $2 | 8% | — | $27 – $32 |
| 18 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 19 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $673 | $673 | $596 | 89% | — | $77 – $1.3k |
| 20 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $673 | $673 | $596 | 89% | — | $77 – $1.3k |
| 21 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 22 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 23 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 24 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 25 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting CPT 96139 · Snapshot 20261111T120946Z-9134e7f7