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
PSYCL TST EVAL PHYS/QHP 1ST
Boulder, CO
See all hospitals reporting CPT 96130 →Price type
Boulder Community Health’s median price of $182 is 35% below the median hospital's median price ($280), higher than 23% of the 1,464 hospitals reporting CPT 96130. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · case rate · both | $101 | $101 | — | — | — | $101 – $101 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Humana medicare advantage professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Anthem commercial professional · fee schedule · both | $134 | $147 | $21 | 14% | — | $134 – $180 |
| 7 | Kaiser commercial professional · fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $165 | $165 | $65 | 39% | — | $101 – $230 |
| 9 | MultiPlan commercial professional · fee schedule · both | $168 | $168 | — | — | — | $168 – $168 |
| 10 | Phcs commercial professional · fee schedule · both | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 13 | Anthem managed care professional · fee schedule · both | $180 | $180 | — | — | — | $180 – $180 |
| 14 | Cigna commercial professional · fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 15 | Aetna commercial professional · fee schedule · both | $209 | $209 | — | — | — | $209 – $209 |
| 16 | Aetna ppo professional · fee schedule · both | $209 | $209 | — | — | — | $209 – $209 |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $236 | $236 | $1 | 0% | — | $235 – $237 |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $237 | $237 | — | — | — | $237 – $237 |
| 23 | Kaiser commercial facility · case rate · outpatient | $503 | $503 | $61 | 12% | — | $442 – $563 |
| 24 | Kaiser managed care facility · case rate · outpatient | $558 | $558 | — | — | — | $558 – $558 |
| 25 | Anthem commercial facility · case rate · outpatient | $515 | $584 | $142 | 24% | — | $447 – $817 |
Last updated: Sep 16, 2026
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