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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 96138 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$240 – $480	$300 – $600
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$204	$291
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$63.05	$97.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$339 – $429	$652 – $825
Seattle Children's HospitalSeattle	$21.12 – $42.841 plan	$170	$170
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$165	$236
Virginia Mason Medical CenterSeattle	—	$122	$240

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): $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)