BINGHAMTON PSYCHIATRIC CENTER

Legal name: NYS OFFICE OF MENTAL HEALTH

BINGHAMTON, NY 139014101 (607) 724-1391 261QM0855X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
Psychiatric Diagnostic Evaluation (minimum 45 mins)	90791	N/A	N/A
Psychiatric Diagnostic Evaluation with Medical Services (minimum 45 mins)	90792	N/A	N/A
Psychotherapy - Indiv 30 minutes min ( Medicare 16-37) mins	90832	N/A	N/A
Psychiatric Eval & Mgmt (psychotherapy with E/M) add-on 30 (16-37) min	90833	N/A	N/A
Psychotherapy - Indiv 45 (38-52) mins	90834	N/A	N/A
Psychiatric Eval & Mgmt (psychotherapy with E/M) add-on 45 (38-52) min	90836	N/A	N/A
Psychotherapy - Indiv 53+ mins	90837	N/A	N/A
Psychotherapy - Family 30 mins	90846	N/A	N/A
Psychotherapy - Family&Client 1 hr	90847	N/A	N/A
Psychotherapy - Family Group 1hr	90849	N/A	N/A
Group or Interactive Group Psychotherapy Other than Family Group	90853	N/A	N/A
Charge for 4 UNITS: Complex Care Management - 5 minute unit/up to 4 units billable w/in 14 days of eligible Clinic service(at which the service was ordered)	90882	N/A	N/A
Developmental Testing - First Hour	96112	N/A	N/A
Developmental Testing - additional 30 mins	96113	N/A	N/A
Psychological Testing - Neurobehavioral First Hour	96116	N/A	N/A
Psychological Testing - Neurobehavioral additional hour	96121	N/A	N/A
Psychological Testing Evaluation - First Hour	96130	N/A	N/A
Psychological Testing - Various, maximum of 1 unit	96132	N/A	N/A
Psychological Testing Admin and Scoring - First 30 mins	96136	N/A	N/A
Psychological Testing Admin and Scoring - Additional 30 mins	96137	N/A	N/A
Injection Only	96372	N/A	N/A
during regularly scheduled evening, weekend, or holiday office hours; add-on code	99051	N/A	N/A
New Patient - Initial comprehensive preventive medicine early childhood (< 5 years)	99382	N/A	N/A
New Patient - Initial comprehensive preventive medicine late childhood (5-11 years)	99383	N/A	N/A
New Patient - Initial comprehensive preventive medicine adolescent (12-17 years)	99384	N/A	N/A
New Patient - Initial comprehensive preventive medicine (18-39 years)	99385	N/A	N/A
New Patient - Initial comprehensive preventive medicine (40-64 years)	99386	N/A	N/A
New Patient - Initial comprehensive preventive medicine (65+ years)	99387	N/A	N/A
Established Patient - Periodic comprehensive preventive medicine late childhood (5-11 years)	99393	N/A	N/A
Established Patient - Periodic comprehensive preventive medicine adolescent (12-17 years)	99394	N/A	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.