CMS Price Transparency Data

Psychological testing evaluation

Facility: Baptist Medical Center Beaches

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 0.8× the $136 Medicare rate · typically $32–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$394
Well above the fair price
about $287 over the fair price · 2.9× Medicare
Medicare pays $136 Fair price $107 This hospital $394

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $394

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

A fair price for a Psychological testing evaluation is about $107 (about 0.8× the $136 Medicare rate). Baptist Medical Center Beaches charges insurers about $394 — well above the fair price. Located in Jacksonville Beach, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $107. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $131 - $434 96%
Aetnamajor $132 - $473 97%
Ambetter (Centene) $311 229%
Amerigroup $394 290%
AmeriHealth $434 319%
Devoted Health $137 101%
Molina $469 345%
Simply Healthcare $414 - $473 305%
UPMC Health Plan $142 104%
+ 7 smaller / regional plans $129 - $434
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals