Price Checker / CPT 96131
How much does Psycl Tst Evaluation Phys/qhp Ea cost?
CPT 96131 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.1x the fair price. You have grounds to ask for a reduction.
Fair price
$180–$210
What this should cost
With insurance
~$400
Typical out-of-pocket
Overcharged if over
$260
Push back above this
The average hospital charge of $418 is $218 over the fair price (about 2.1x the fair rate).
What hospitals charge for Psycl Tst Evaluation Phys/qhp Ea
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| UPMC Western Psychiatric , PA | $830 | $664 | 859% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $532 | — | 515% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $187 | $150 | 116% |
| Pathways Behavioral Health Services , TN | $125 | $125 | 44% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Psycl Tst Evaluation Phys/qhp Ea
CPT code 96131 refers to psycl tst evaluation phys/qhp ea (billing description: "Psycl tst eval phys/qhp ea"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $70 in a facility (hospital or surgery center) and $87 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.