CMS Price Transparency Data

Psychological testing evaluation

Facility: Saint Joseph East

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$170
about 1.3× the $136 Medicare rate · typically $56–$321
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
About the fair price
about $10 under the fair price · 1.2× Medicare
Medicare pays $136 Fair price $170 This hospital $160 Cash price $239 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 $160

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 $170 (about 1.3× the $136 Medicare rate). Saint Joseph East charges insurers about $160, or about $239 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 - $453 97%
Blue Cross Blue Shieldmajor $127 - $163 93%
Aetnamajor $130 - $375 96%
Cignamajor $381 280%
Humanamajor $127 - $153 93%
CareSource $253 186%
Molina $133 - $146 98%
WellCare $127 - $152 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: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals