How Much Does Hlth Bhv Assessment/reassessment Cost?
Also known as: Hlth bhv assmt/reassessment (CPT 96156)
A health and behavior assessment to understand how your psychological state affects a medical condition, first 30 minutes.
Hlth Bhv Assessment/reassessment (CPT 96156) costs $87 at Medicare rates.
Patient Guide: Hlth Bhv Assessment/reassessment
What you need to know before your appointment
What to Expect
A psychologist interviews you about how psychological factors (stress, coping, motivation, lifestyle) are affecting a medical condition like chronic pain, diabetes, or heart disease.
How Long Does It Take?
30 minutes initially
Common Reasons Doctors Order This
Chronic pain evaluation, pre-surgical psychological assessment, stress affecting medical conditions, health behavior change readiness
How to Prepare
Think about how stress, emotions, and lifestyle affect your health condition. Be honest about coping strategies.
Procedures Commonly Done Together
These procedures are frequently performed alongside Hlth bhv assmt/reassessment
How to Reduce Your Cost for Hlth bhv assmt/reassessment
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($108) differs from the facility rate ($87). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (3.22) x CF ($33.40) = $108
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Hlth bhv assmt/reassessment cost?
The Medicare facility rate for Hlth bhv assmt/reassessment is $87. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Hlth bhv assmt/reassessment cost without insurance?
Without insurance, the cost of Hlth bhv assmt/reassessment can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Hlth bhv assmt/reassessment?
Most commercial health insurance plans and Medicare cover Hlth bhv assmt/reassessment when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.