CPT 96127

Behavioral Health Services

Current code33 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 96127 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$17.98 – $26.645 plans$72.00$180
Cascade Medical CenterLeavenworth$19.47 – $30.934 plans$28.00 – $29.60$35.00 – $37.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$16.45 – $17.425 plans——
EvergreenHealth Medical CenterKirkland—$51.20 – $100$64.00 – $125
EvergreenHealth MonroeMonroe$43.871 plan$100$125
Harborview Medical CenterSeattleFile dated 2026-04-01—$25.00$35.72
Island HospitalAnacortes$16.98 – $18.423 plans$12.00$12.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$17.02 – $18.385 plans$72.00$180
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$16.71 – $18.055 plans$72.00$180
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$16.71 – $18.055 plans$72.00$180
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$17.10 – $18.465 plans$72.00$180
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$16.34 – $17.305 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$21.03 – $23.035 plans$8.00$10.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver$43.081 plan$96.20$148
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$55.64$107
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$66.72$139
Swedish Medical CenterSeattleFile dated 2026-04-01—$66.72$139
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$66.72$139
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$17.10 – $18.475 plans$72.00$180
University of Washington Medical CtrSeattleFile dated 2026-04-01—$43.23$61.76
Virginia Mason Medical CenterSeattle—$45.90$90.00
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$150 – $375$150 – $375
Yakima Valley MemorialYakimaFile dated 2026-08-27$16.34 – $18.995 plans$69.20$173

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$6.01 in an office; $6.01 in a hospital or surgery center
Doctor's fee, rest of Washington
$5.18 in an office; $5.18 in a hospital or surgery center
Hospital outpatient payment (national)
$38.16 (APC 5732)