CMS Price Transparency Data

Psychological testing evaluation

Facility: Santa Clara Valley Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$118
about 0.9× the $136 Medicare rate · typically $33–$304
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $82 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $118 This hospital $36 Cash price $200 Hospital's list price $285

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 7 of 8 other CA hospitals charge less.

Cheapest $29 Priciest $42

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychological testing evaluation is about $118 (about 0.9× the $136 Medicare rate). Santa Clara Valley Medical Center charges insurers about $36, or about $200 in cash — below the fair price — a good deal. Located in San Jose, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31 23%
Blue Cross Blue Shieldmajor $159 117%
Aetnamajor $54 - $58 40%
Cignamajor $36 26%
Health Net $26 19%
+ 2 smaller / regional plans $26 - $77
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals