CPT 96133 Neuropsychological Testing
Nrpsyc tst eval phys/qhp ea Cost
Body System: Nervous
Medicare Facility Rate
$70
CMS PFS CY2026
Medicare Non-Facility Rate
$98
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.96
Work RVU
0.13
Facility PE RVU
0.02
Malpractice RVU
2.93
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $104 | $173 — $266 |
| AL — ALABAMA | $70 | $122 — $188 |
| AR — ARKANSAS | $70 | $122 — $187 |
| AZ — ARIZONA | $71 | $126 — $195 |
| CA — BAKERSFIELD | $72 | $133 — $205 |
| CA — CHICO | $72 | $133 — $204 |
| CA — EL CENTRO | $72 | $133 — $204 |
| CA — FRESNO | $72 | $133 — $204 |
| CA — HANFORD-CORCORAN | $72 | $133 — $204 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $74 | $139 — $213 |
| CA — MADERA | $72 | $133 — $204 |
| CA — MERCED | $72 | $133 — $204 |
| CA — MODESTO | $72 | $133 — $204 |
| CA — NAPA | $76 | $146 — $225 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $73 | $137 — $212 |
| CA — REDDING | $72 | $133 — $204 |
| CA — REST OF CALIFORNIA | $72 | $133 — $204 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $72 | $133 — $205 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $74 | $137 — $211 |
| CA — SALINAS | $73 | $137 — $210 |
Frequently Asked Questions
How much does Nrpsyc tst eval phys/qhp ea cost?
The Medicare facility rate is $70. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Nrpsyc tst eval phys/qhp ea 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 $70.