CMS Price Transparency Data

Psychological testing evaluation

Facility: St Vincent Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 0.7× the $136 Medicare rate · typically $30–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $65 under the fair price · 0.2× Medicare
Medicare pays $136 Fair price $98 This hospital $33

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MA hospitals compared.

Cheapest $26 Priciest $46

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

A fair price for a Psychological testing evaluation is about $98 (about 0.7× the $136 Medicare rate). St Vincent Hospital charges insurers about $33 — below the fair price — a good deal. Located in Worcester, MA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $29 - $33 21%

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals