CMS Price Transparency Data

Psychological testing evaluation

Facility: Saint Joseph Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$174
about 1.3× the $136 Medicare rate · typically $58–$347
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
About the fair price
about $7 under the fair price · 1.2× Medicare
Medicare pays $136 Fair price $174 This hospital $167 Cash price $281 Hospital's list price $596

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $37 Priciest $167

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

A fair price for a Psychological testing evaluation is about $174 (about 1.3× the $136 Medicare rate). Saint Joseph Hospital charges insurers about $167, or about $281 in cash — about the fair price. Located in Lexington, KY.

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✓ Cigna✓ Humana Kaiser 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 $132 - $435 97%
Blue Cross Blue Shieldmajor $127 - $169 93%
Aetnamajor $130 - $375 96%
Cignamajor $375 276%
Humanamajor $127 - $158 93%
CareSource $253 186%
Molina $133 - $140 98%
WellCare $127 - $166 93%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals