CPT 96125

Behavioral Health Services

Current code45 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 96125 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$321$321
Capital Medical CenterOlympiaFile dated 2026-08-27—$170 – $189$424 – $473
Cascade Medical CenterLeavenworth$195 – $2934 plans$280$350
Cascade Valley HospitalArlington$4221 plan$338$422
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$178$444
EvergreenHealth Medical CenterKirkland—$286$358
EvergreenHealth MonroeMonroe$1091 plan$312$390
Harborview Medical CenterSeattleFile dated 2026-04-01—$370$528
Island HospitalAnacortes$408 – $4433 plans$213$213
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$352$503
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$187$288
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$189$473
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$189$473
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$189$473
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$189$473
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$178$444
Olympic Medical CenterPort AngelesFile dated 2026-06-24$506 – $5545 plans$282$352
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$350$500
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$309$594
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$306$437
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$204$291
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$212$407
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$205$293
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$483$690
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$309$594
Seattle Children's HospitalSeattle—$912$912
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$336$699
Swedish IssaquahIssaquahFile dated 2026-04-01—$336 – $357$699 – $743
Swedish Medical CenterSeattleFile dated 2026-04-01—$336 – $357$699 – $743
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$336 – $357$699 – $743
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$189$473
Three Rivers HospitalBrewster$2611 plan$373$373
Trios HealthKennewick——$456
University of Washington Medical CtrSeattleFile dated 2026-04-01—$304$434
Virginia Mason Medical CenterSeattle—$232$454
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$188$470
Yakima Valley MemorialYakimaFile dated 2026-08-27—$191$477

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$116 in an office; $116 in a hospital or surgery center
Doctor's fee, rest of Washington
$106 in an office; $106 in a hospital or surgery center