Administration of psychological or neuropsychological test, each additional 30 minutes
Medicare pricing data for 4,411 providers across 52 states
Prices vary significantly by location — from $18 in North Dakota to $48 in Alaska. Where you get this procedure matters more than almost any other factor. 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
Administration of psychological or neuropsychological test, each additional 30 minutes (HCPCS code 96137) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.51, but hospitals typically charge $119.81 — a 3.3x 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 $36.51, your out-of-pocket cost would be approximately $7.30. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $28.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $48 | $275 | 8 | 410 | +30.3% |
| District of Columbia | $44 | $121 | 11 | 763 | +19.8% |
| New Jersey | $42 | $138 | 122 | 10,621 | +15.0% |
| Maryland | $41 | $113 | 79 | 7,074 | +13.6% |
| Hawaii | $41 | $99 | 13 | 605 | +13.3% |
| New York | $40 | $189 | 220 | 19,354 | +10.6% |
| Delaware | $39 | $125 | 8 | 1,097 | +6.6% |
| Puerto Rico | $39 | $41 | 8 | 508 | +6.1% |
| Oregon | $38 | $115 | 57 | 5,655 | +5.2% |
| Wyoming | $38 | $88 | 7 | 121 | +4.9% |
| Vermont | $38 | $95 | 9 | 498 | +4.9% |
| Connecticut | $38 | $145 | 77 | 5,858 | +4.4% |
| California | $38 | $130 | 433 | 38,798 | +3.7% |
| Rhode Island | $38 | $105 | 38 | 3,214 | +3.3% |
| Florida | $38 | $115 | 289 | 42,803 | +3.0% |
| Colorado | $37 | $99 | 119 | 8,410 | +2.5% |
| Pennsylvania | $37 | $113 | 196 | 11,531 | +2.1% |
| Washington | $37 | $113 | 71 | 6,346 | +1.6% |
| Minnesota | $37 | $134 | 123 | 3,280 | +1.3% |
| Arizona | $37 | $126 | 76 | 6,886 | +0.7% |
| Massachusetts | $37 | $111 | 160 | 17,550 | +0.6% |
| Georgia | $36 | $132 | 103 | 6,623 | -0.4% |
| Texas | $36 | $107 | 393 | 35,610 | -0.6% |
| Utah | $36 | $103 | 36 | 1,751 | -0.9% |
| Idaho | $36 | $99 | 23 | 1,588 | -1.4% |
| Nebraska | $36 | $107 | 31 | 1,183 | -2.0% |
| Kansas | $35 | $148 | 28 | 2,165 | -3.4% |
| Nevada | $35 | $89 | 49 | 3,949 | -3.7% |
| Montana | $35 | $98 | 23 | 633 | -3.7% |
| Mississippi | $35 | $123 | 25 | 967 | -4.0% |
| Maine | $35 | $110 | 22 | 841 | -4.4% |
| West Virginia | $35 | $91 | 18 | 515 | -4.5% |
| Louisiana | $35 | $78 | 23 | 617 | -5.0% |
| Indiana | $35 | $93 | 86 | 2,810 | -5.2% |
| Illinois | $35 | $118 | 237 | 20,316 | -5.3% |
| North Carolina | $34 | $104 | 154 | 6,791 | -5.6% |
| New Mexico | $34 | $98 | 36 | 1,420 | -6.1% |
| Alabama | $34 | $84 | 22 | 1,844 | -7.2% |
| New Hampshire | $34 | $93 | 26 | 3,642 | -7.4% |
| Kentucky | $34 | $118 | 44 | 3,570 | -7.8% |
| Tennessee | $33 | $94 | 77 | 8,260 | -8.4% |
| Arkansas | $33 | $108 | 30 | 3,667 | -8.4% |
| South Carolina | $33 | $107 | 47 | 5,752 | -9.2% |
| Ohio | $33 | $99 | 128 | 5,722 | -9.3% |
| Virginia | $33 | $137 | 121 | 6,736 | -10.2% |
| Missouri | $33 | $108 | 68 | 3,045 | -10.6% |
| South Dakota | $31 | $79 | 25 | 943 | -14.9% |
| Oklahoma | $31 | $86 | 39 | 2,573 | -15.1% |
| Iowa | $30 | $115 | 56 | 3,449 | -17.0% |
| Michigan | $30 | $136 | 184 | 6,198 | -17.7% |
| Wisconsin | $30 | $149 | 101 | 3,088 | -18.8% |
| North Dakota | $18 | $46 | 17 | 565 | -49.8% |
⚠️ 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