CPT 96132 Neuropsychological Testing
Nrpsyc tst eval phys/qhp 1st Cost
Body System: Nervous
Medicare Facility Rate
$99
CMS PFS CY2026
Medicare Non-Facility Rate
$122
Office/clinic setting
Hospital Outpatient
$381
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.56
Work RVU
0.32
Facility PE RVU
0.07
Malpractice RVU
3.66
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $142 | $217 — $334 |
| AL — ALABAMA | $97 | $153 — $235 |
| AR — ARKANSAS | $96 | $152 — $234 |
| AZ — ARIZONA | $98 | $158 — $243 |
| CA — BAKERSFIELD | $101 | $165 — $254 |
| CA — CHICO | $100 | $165 — $253 |
| CA — EL CENTRO | $100 | $165 — $253 |
| CA — FRESNO | $100 | $165 — $253 |
| CA — HANFORD-CORCORAN | $100 | $165 — $253 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $104 | $172 — $264 |
| CA — MADERA | $100 | $165 — $253 |
| CA — MERCED | $100 | $165 — $253 |
| CA — MODESTO | $100 | $165 — $253 |
| CA — NAPA | $107 | $180 — $276 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $103 | $170 — $261 |
| CA — REDDING | $100 | $165 — $253 |
| CA — REST OF CALIFORNIA | $100 | $165 — $253 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $101 | $166 — $255 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $103 | $170 — $261 |
| CA — SALINAS | $102 | $169 — $260 |
Frequently Asked Questions
How much does Nrpsyc tst eval phys/qhp 1st cost?
The Medicare facility rate is $99. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $381.
How much does Nrpsyc tst eval phys/qhp 1st 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 $99.