Price Checker / CPT 96113

How much does Devel Tst Phys/qhp Ea Addl cost?

CPT 96113 · Based on 2026 Medicare rates and hospital-published pricing

Fair price

The average hospital charge is in line with what this normally costs. No need to dispute.

Fair price

$210–$240

What this should cost

With insurance

~$390

Typical out-of-pocket

Overcharged if over

$300

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What hospitals charge for Devel Tst Phys/qhp Ea Addl

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

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About Devel Tst Phys/qhp Ea Addl

CPT code 96113 refers to devel tst phys/qhp ea addl (billing description: "Devel tst phys/qhp ea addl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $45 in a facility (hospital or surgery center) and $56 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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