Evaluation of neuropsychological test, first hour
Medicare pricing data for 6,643 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Evaluation of neuropsychological test, first hour (HCPCS code 96132) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.11, but hospitals typically charge $317.20 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.11, your out-of-pocket cost would be approximately $24.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $96.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $170 | $510 | 16 | 507 | +37.2% |
| New York | $139 | $381 | 382 | 13,167 | +12.4% |
| District of Columbia | $138 | $274 | 19 | 535 | +10.9% |
| New Jersey | $136 | $290 | 224 | 5,264 | +9.6% |
| Washington | $132 | $347 | 96 | 5,662 | +6.3% |
| Hawaii | $131 | $253 | 15 | 449 | +5.2% |
| California | $128 | $294 | 766 | 35,521 | +3.5% |
| Connecticut | $128 | $335 | 114 | 2,484 | +3.2% |
| Massachusetts | $128 | $325 | 212 | 6,284 | +3.2% |
| Wyoming | $127 | $508 | 7 | 551 | +2.2% |
| Maryland | $127 | $299 | 177 | 8,651 | +1.9% |
| Oregon | $127 | $279 | 67 | 1,917 | +1.9% |
| Vermont | $126 | $372 | 12 | 754 | +1.6% |
| Florida | $126 | $337 | 540 | 25,122 | +1.5% |
| Delaware | $126 | $237 | 21 | 981 | +1.5% |
| Rhode Island | $126 | $309 | 37 | 754 | +1.4% |
| Puerto Rico | $125 | $128 | 9 | 88 | +0.8% |
| Illinois | $125 | $368 | 303 | 9,073 | +0.6% |
| Colorado | $124 | $310 | 136 | 3,141 | +0.3% |
| Nevada | $124 | $283 | 64 | 2,687 | -0.1% |
| Virginia | $123 | $313 | 142 | 5,589 | -0.7% |
| New Mexico | $123 | $245 | 39 | 941 | -0.8% |
| Texas | $123 | $309 | 707 | 22,710 | -0.9% |
| Arizona | $123 | $310 | 162 | 8,307 | -0.9% |
| Minnesota | $122 | $471 | 107 | 3,077 | -1.5% |
| Oklahoma | $122 | $245 | 70 | 2,964 | -2.0% |
| New Hampshire | $121 | $270 | 35 | 1,740 | -2.2% |
| Georgia | $121 | $285 | 185 | 5,465 | -2.3% |
| North Carolina | $121 | $269 | 167 | 7,963 | -2.8% |
| Utah | $121 | $238 | 60 | 1,214 | -2.8% |
| Nebraska | $121 | $343 | 23 | 792 | -2.9% |
| Maine | $120 | $276 | 28 | 357 | -3.3% |
| Mississippi | $120 | $265 | 27 | 656 | -3.4% |
| Alabama | $120 | $200 | 51 | 2,338 | -3.7% |
| South Carolina | $119 | $323 | 70 | 2,583 | -4.0% |
| Pennsylvania | $119 | $337 | 299 | 9,237 | -4.0% |
| Michigan | $119 | $311 | 229 | 5,422 | -4.4% |
| Kansas | $118 | $358 | 34 | 1,660 | -5.0% |
| Kentucky | $117 | $335 | 47 | 1,094 | -5.8% |
| Missouri | $117 | $282 | 70 | 2,988 | -6.1% |
| Idaho | $116 | $248 | 42 | 494 | -6.5% |
| Indiana | $115 | $268 | 87 | 2,664 | -7.2% |
| South Dakota | $115 | $207 | 17 | 556 | -7.5% |
| Ohio | $115 | $340 | 183 | 5,806 | -7.7% |
| West Virginia | $114 | $251 | 22 | 672 | -8.2% |
| Wisconsin | $114 | $605 | 146 | 4,166 | -8.2% |
| Louisiana | $114 | $239 | 50 | 1,620 | -8.5% |
| Arkansas | $113 | $244 | 52 | 3,166 | -8.6% |
| Montana | $113 | $263 | 33 | 802 | -9.3% |
| Tennessee | $111 | $255 | 152 | 8,979 | -10.6% |
| Iowa | $111 | $399 | 55 | 2,046 | -10.7% |
| North Dakota | $109 | $206 | 20 | 1,324 | -11.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber