Price Checker / CPT 96156
How much does Hlth Bhv Assmt/reassessment cost?
CPT 96156 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$220–$260
What this should cost
With insurance
~$580
Typical out-of-pocket
Overcharged if over
$330
Push back above this
The average hospital charge of $296 is $56 over the fair price.
What hospitals charge for Hlth Bhv Assmt/reassessment
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Riverview Health Emergency Room & Urgent Care - Carmel Noblesville, IN | $279 | — | 92880% |
| Riverview Health Emergency Room & Urgent Care - Fishers Noblesville, IN | $279 | — | 92880% |
| Riverview Health Noblesville Hospital Noblesville, IN | $279 | — | 92880% |
| Riverview Health Westfield Hospital Noblesville, IN | $279 | — | 92880% |
| Pennsylvania Psychiatric Institute Harrisburg, PA | $478 | — | 256% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $180 | $144 | 67% |
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 Hlth Bhv Assmt/reassessment
CPT code 96156 refers to hlth bhv assmt/reassessment (billing description: "Hlth bhv assmt/reassessment"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $87 in a facility (hospital or surgery center) and $108 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.