CPT 96112 Neuropsychological Testing
Devel tst phys/qhp 1st hr Cost
Body System: Nervous
Medicare Facility Rate
$107
CMS PFS CY2026
Medicare Non-Facility Rate
$125
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.56
Work RVU
0.50
Facility PE RVU
0.14
Malpractice RVU
3.75
Total RVU
Frequently Asked Questions
How much does Devel tst phys/qhp 1st hr cost?
The Medicare facility rate is $107. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Devel tst phys/qhp 1st hr cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $107.