CMS Price Transparency Data

Psychological testing by technician

Facility: Clay County Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$119
about 0.3× the $456 Medicare rate · typically $36–$718
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $62 under the fair price · 0.1× Medicare
Medicare pays $456 Fair price $119 This hospital $57

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 $57

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 $119 (about 0.3× the $456 Medicare rate). Clay County Hospital charges insurers about $57 — below the fair price — a good deal. Located in Flora, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $41 9%
Blue Cross Blue Shieldmajor $73 16%
Aetnamajor $35 8%

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals