CPT 96159

Behavioral Health Services

Current code14 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 96159 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$50.751 plan	$76.00	$95.00
EvergreenHealth Medical CenterKirkland	—	$60.00 – $120	$75.00 – $150
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$54.22	$77.46
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$35.36 – $67.60	$68.00 – $130
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$82.16	$158
Seattle Children's HospitalSeattle	$16.191 plan	—	$77.00
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$37.44	$78.00
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$37.44	$78.00
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$37.44	$78.00
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$73.05	$104
Virginia Mason Medical CenterSeattle	—	$21.93 – $45.39	$43.00 – $89.00
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27	—	$64.40	$161
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$47.20	$118

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): $27.78 in an office; $21.63 in a hospital or surgery center
Doctor's fee, rest of Washington: $25.97 in an office; $20.69 in a hospital or surgery center