CPT 96138

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 96138 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$89.05 – $2,31116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$686 – $1,6849 plans——
EvergreenHealth Medical CenterKirkland$55.86 – $1,07720 plans$240 – $480$300 – $600
Harborview Medical CenterSeattleFile dated 2026-04-01$828 – $1,1013 plans$204$291
Island HospitalAnacortes$691 – $9605 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$58.51 – $1,3988 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$64.80 – $9964 plans$63.05$97.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$707 – $2,9709 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$77.49 – $2,14417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$77.49 – $2,14417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$77.49 – $2,14412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$667 – $1,68010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$73.11 – $1,36412 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$82.76 – $1,65112 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$143 – $2,9219 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$597 – $1,82511 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$96.56 – $1,57811 plans$339 – $429$652 – $825
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$353 – $2,2047 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$129 – $2,00713 plans——
Seattle Children's HospitalSeattle$57.90 – $163152 plans$170$170
Skagit Valley HospitalMount Vernon$65.30 – $1,80411 plans$358$448
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$103 – $1,83213 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$108 – $2,20014 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$108 – $2,19422 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$105 – $2,19416 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$77.49 – $2,14417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$828 – $1,66711 plans$165$236
Virginia Mason Medical CenterSeattle$1.07 – $1,47210 plans$122$240
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,3161 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$42.07 – $1,33113 plans——

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)
$46.17 in an office; $46.17 in a hospital or surgery center
Doctor's fee, rest of Washington
$39.65 in an office; $39.65 in a hospital or surgery center
Hospital outpatient payment (national)
$456 (APC 5735)