CMS Price Transparency Data

Psychological testing by technician

Facility: Carle Health Proctor Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$243
about 0.5× the $456 Medicare rate · typically $95–$482
modeled estimate · not a bill or quote
What this hospital charges insurers
$479
Well above the fair price
about $236 over the fair price · 1.1× Medicare
Medicare pays $456 Fair price $243 This hospital $479

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $32 Priciest $479

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

A fair price for a Psychological testing by technician is about $243 (about 0.5× the $456 Medicare rate). Carle Health Proctor Hospital charges insurers about $479 — well above the fair price. Located in Peoria, IL.

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 $243. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $479 105%
Blue Cross Blue Shieldmajor $479 105%
Aetnamajor $32 - $950 7%
Humanamajor $479 105%
Meridian $555 122%
Molina $479 105%
WellCare $479 105%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5409 N Knoxville Ave, Peoria, IL 61354
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals