CMS Price Transparency Data

Psychological testing evaluation

Facility: Kootenai Health

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 0.4× the $136 Medicare rate · typically $32–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $21 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $59 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 2 charge more and 3 charge less, among the 6 ID hospitals compared.

Cheapest $23 Priciest $333

Black dot = this hospital, among the 6 ID hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $59 (about 0.4× the $136 Medicare rate). Kootenai Health charges insurers about $38 — below the fair price — a good deal. Located in Coeur D'Alene, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $21 - $138 15%
Blue Cross Blue Shieldmajor $21 - $139 15%
Aetnamajor $22 - $144 16%
Humanamajor $21 - $138 15%
Kaiser Permanentemajor $495 364%
Molina $14 - $142 10%
PacificSource $21 - $139 15%
+ 2 smaller / regional plans $14 - $40

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals