CPT 96130

Behavioral Health Services

Current code31 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

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for CPT 96130 by hospital
Hospital	Medicare (traditional) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$1491 plan	$206	$257
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$363	$518
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$515	$990
Seattle Children's HospitalSeattle	—	—	$407
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$363	$518
Virginia Mason Medical CenterSeattle	—	$199	$390
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$336	$839

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): $136 in an office; $106 in a hospital or surgery center
Doctor's fee, rest of Washington: $126 in an office; $101 in a hospital or surgery center
Hospital outpatient payment (national): $221 (APC 5722)