CPT 96116
Behavioral Health Services
Current code33 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $245 – $270 | $565 | $1,413 |
| Cascade Medical Center | $297 – $467 | $426 – $447 | $532 – $559 |
| Cascade Valley Hospital | $311 – $327 | $438 | $547 |
| Deaconess Medical Center | $236 – $259 | — | — |
| EvergreenHealth Medical Center | — | $393 | $491 |
| Harborview Medical Center | $250 – $275 | $544 | $777 |
| Island Hospital | $258 – $273 | — | — |
| Kadlec Regional Medical Center | $241 – $289 | — | — |
| Legacy Salmon Creek Medical Center | $248 – $269 | $58.50 – $166 | $90.00 – $256 |
| Mary Bridge Children's Hospital | $247 – $272 | $565 | $1,413 |
| MultiCare Auburn Medical Center | $246 – $270 | $565 | $1,413 |
| MultiCare Covington Medical Center | $246 – $270 | $565 | $1,413 |
| MultiCare Good Samaritan Hospital | $247 – $272 | $565 | $1,413 |
| MultiCare Valley Hospital | $243 – $259 | — | — |
| Olympic Medical Center | $271 – $348 | — | — |
| Overlake Hospital Medical Center & Clinics | $251 – $261 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $241 – $289 | — | — |
| Providence Centralia Hospital | $250 – $400 | — | — |
| Providence Holy Family Hospital | $241 – $265 | $430 | $614 |
| Providence Regional Medical Center Everett | $246 – $270 | $486 | $935 |
| Providence St Mary Medical Center | $241 – $265 | — | — |
| Providence St Peter Hospital | $248 – $397 | — | — |
| Seattle Children's Hospital | — | — | $436 |
| Skagit Valley Hospital | $311 – $327 | $279 – $507 | $349 – $634 |
| Swedish Edmonds Hospital | $246 – $295 | — | — |
| Swedish Issaquah | $251 – $301 | — | — |
| Swedish Medical Center | $250 – $300 | — | — |
| Swedish Medical Center / Cherry Hill | $250 – $300 | — | — |
| Tacoma General Allenmore Hospital | $247 – $272 | $565 | $1,413 |
| University of Washington Medical Ctr | $250 – $275 | $489 | $699 |
| Virginia Mason Medical Center | $81.65 – $1,697 | $265 | $520 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $253 – $283 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $104 in an office; $76.71 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $96.11 in an office; $72.90 in a hospital or surgery center
- Hospital outpatient payment (national)
- $221 (APC 5722)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 96116:
- 96116P (with a letter after it, P; 4 price lines)
- 96116T (with a letter after it, T; 2 price lines)