CMS Price Transparency Data

Psychological testing by technician

Facility: Spectrum Health

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$155
about 0.3× the $456 Medicare rate · typically $55–$460
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Below the fair price — a good deal
about $103 under the fair price · 0.1× Medicare
Medicare pays $456 Fair price $155 This hospital $52 Cash price $277 Hospital's list price $277

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $34 Priciest $52

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychological testing by technician is about $155 (about 0.3× the $456 Medicare rate). Spectrum Health charges insurers about $52, or about $277 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $445 98%
Aetnamajor $467 102%
Meridian $801 176%
Priority Health $30 - $52 7%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 100 Michigan St Ne, Grand Rapids, MI 49503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals