CMS Price Transparency Data

Psychological testing by technician

Facility: Mercy Health Saint Mary's

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $43
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Mercy Health Saint Mary's is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.09x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$456.4

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $456.4 (100%)
Cash / Self-Pay: $21 (5%)
Insurance Median: $43 (9%)
Cash: $21 (5% of Medicare)
Ins. Median: $43 (9% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $456.4 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $15 - $54 3%
Bcn Domestic $16 4%
Blue Benefit Administrators Of Massachusetts $16 - $55 4%
Blue Care Network $16 - $52 4%
Blue Cross Blue Shield $16 - $55 4%
Blue Distinction Transplant $16 - $55 4%
Blue Shield - Ca $16 - $55 4%
Blue Shield - Id (Regence) $16 - $55 4%
Blue Shield - Ny Highmark Northeastern $16 - $55 4%
Blue Shield - Ny Highmark Western $16 - $55 4%
Blue Shield - Pa (Highmark) $16 - $55 4%
Blue Shield - Wa (Regence) $16 - $55 4%
Health Choices $16 - $60 4%
Kaiser Domestic $16 4%
Nomi Health $18 - $54 4%
Wc Accident Fund $18 - $47 4%
Wc Advantage $18 - $47 4%
Wc Aig $18 - $47 4%
Wc Allied $18 - $47 4%
Wc Amerisure $18 - $47 4%
Wc Amtrust $18 - $47 4%
Wc Asu Risk Mgt $18 - $47 4%
Wc Berkley Admin $18 - $47 4%
Wc Broadspire $18 - $47 4%
Wc Bunch & Associates $18 - $47 4%
Wc Ccmsi $18 - $47 4%
Wc Emc Insurance Company $18 - $47 4%
Wc Esis $18 - $47 4%
Wc Fcci $18 - $47 4%
Wc Federated $18 - $47 4%
Wc Gallagher Bassett $18 - $47 4%
Wc Genex Care For Ohio $18 - $47 4%
Wc Guard Insurance Company $18 - $47 4%
Wc Hartford $18 - $47 4%
Wc Liberty Mutual $18 - $47 4%
Wc Meijers $18 - $47 4%
Wc Michigan $18 - $47 4%
Wc Mitchell Frankenmuth $18 - $47 4%
Wc Pma $18 - $47 4%
Wc Sedgwick $18 - $47 4%
Wc Sentry $18 - $47 4%
Wc Travelers $18 - $47 4%
Wc Tristar $18 - $47 4%
Wc Walmart $18 - $47 4%
Wc Zurich $18 - $47 4%
Acs Benefit Services $19 4%
Allied Benefit Systems $19 - $60 4%
Claimchoice Adminstrators $19 - $60 4%
Consociate $19 - $60 4%
Cypress Benefit Administrators $19 - $60 4%
Forest County Potawatomi $19 - $60 4%
Health Smart $19 - $60 4%
Healthgram $19 - $60 4%
Healthscope $19 - $60 4%
Secureone Preferred United Plans $19 - $60 4%
Sisco Benefits $19 - $60 4%
The Health Plan $19 - $60 4%
Trustmark Small Business Benefits $19 - $60 4%
Unified Group Services $19 - $60 4%
Webtpa $19 - $60 4%
Asr Health Benefits $21 - $45 5%
Geha $21 - $43 5%
Hap $21 - $65 5%
Medical Mutual $21 - $60 5%
Meritain $21 - $54 5%
Preferred One $21 - $60 5%
Varipro $21 - $65 5%
Caresource $22 5%
Medicaid / KanCare $22 - $104 5%
Priority Health $22 - $49 5%
1199 National Benefit Fund $24 - $47 5%
Albany County Correctional Facility $24 5%
Allied National Global Care $24 - $47 5%
Ambetter / Centene $24 5%
Amish Mennonite $24 5%
Ascension St. Vincent Public Safety Medical $24 5%
Asrm - Reliance Standard Life Insurance $24 - $47 5%
Bccp $24 5%
Bmc Healthnet $24 5%
Breast Grant-Connecticut $24 5%
Broward County Dept Of Health $24 5%
California Health And Wellness $24 5%
Cardinal Innovations Lme $24 5%
Care Connections Of Northern Iowa $24 5%
Care Oregon Ohp $24 5%
Cencal Health Plan $24 5%
Cenpatico $24 5%
Chhuny $24 5%
Childrens Comm Health Plan $24 5%
Childrens Medical Services Title 19 $24 5%
Christian Care Ministry $24 - $47 5%
Cigna $24 - $46 5%
City Of Philadelphia $24 5%
Cmh Allegan County $24 - $33 5%
Cmh Ausable Valley $24 - $33 5%
Cmh Barry County $24 - $33 5%
Cmh Bay-Arenac County $24 5%
Cmh Berrien County $24 - $33 5%
Cmh Cass County $24 - $33 5%
Cmh Central Mi County $24 5%
Cmh Clinton-Eaton-Ingham County $24 - $33 5%
Cmh Detroit Wayne Integrated Health Network $24 5%
Cmh Genesee County $24 5%
Cmh Ionia County $24 5%
Cmh Jackson County/Lifeways $24 5%
Cmh Kalamazoo $24 - $33 5%
Cmh Kent County $24 - $33 5%
Cmh Lenawee County $24 - $33 5%
Cmh Livingston County $24 5%
Cmh Macomb $24 5%
Cmh Misc $24 - $33 5%
Cmh Monroe County $24 - $33 5%
Cmh Montcalm County $24 - $33 5%
Cmh Muskegon County $24 - $33 5%
Cmh Newaygo County $24 - $33 5%
Cmh North Country $24 - $33 5%
Cmh Northern Lakes County $24 - $33 5%
Cmh Oakland County $24 5%
Cmh Ottawa County $24 - $33 5%
Cmh Van Buren County $24 - $33 5%
Cmh Washtenaw County $24 5%
Cmh Wayne County/Carelink $24 5%
Cmh Wayne Cty/Com Liv Svcs $24 5%
Cmh West Mi County $24 - $33 5%
Community Benefit Health $24 5%
Community Care Behavorial Health $24 5%
Community Care Partners $24 5%
Community Health Choice $24 5%
Connections Csp $24 5%
County Coroner $24 5%
County Funding Generic $24 5%
Covid19 Hrsa Uninsured Testing And Treatment Fund $24 5%
Dean Health $24 - $47 5%
Dean Wi Badgercare $24 5%
Delaware County Department Of Health $24 5%
Delaware First Health $24 5%
Delta Dental Nj $24 5%
Dph Tb Program $24 5%
Dscc $24 5%
Eastpointe Lme $24 5%
Fallon Health $24 - $47 5%
Family Health Network $24 5%
Family Life Insurance Company $24 - $47 5%
Freedom First Healthcare $24 5%
Fresno County Ccs $24 5%
Ghc Scw $24 5%
Ghc Scw Wi Badgercare $24 5%
Group Pension Administrators $24 - $60 5%
Harbor Health $24 5%
Health Safety Net $24 5%
Healthy Blue Ne $24 5%
Hennepin Health $24 5%
Humana $24 - $60 5%
Id County Ada $24 5%
Id County Canyon $24 5%
Id County Cat Fund $24 5%
Id County Other $24 5%
Id County Payette $24 5%
Idaho Dept Health And Wellfare $24 5%
Idaho Womens Health Check $24 5%
Indiana Breast Cervical Cancer $24 5%
Inland Empire Health Plan $24 5%
Intercommunity Health Ohp $24 5%
International Benefit Administrators $24 - $47 5%
Iowa Total Care $24 5%
Jai Medical System $24 5%
Kern Family Health Plan $24 5%
Keystone First $24 5%
Keystone First Chip $24 5%
La Care Health Plan $24 5%
Lakeland Care Inc $24 5%
Lifetime Benefit Solutions $24 - $47 5%
Managed Health Services - Indiana $24 5%
Manhattan Life $24 - $47 5%
Maryland Breast & Cervical Program $24 5%
Maryland Healthy Smiles - Scion Dental $24 5%
Maryland Physicians Care $24 5%
Massachusetts Behavioral Health Partnership $24 5%
Mdwise $24 5%
Medi Share $24 5%
Medi-Cal $24 5%
Medi-Cal Healthnet $24 5%
Medstar Dc Healthy Family $24 5%
Medstar Md Health Choice $24 5%
Mo Home State Health Plan $24 5%
Molina Centennial Care $24 5%
Multiplan $24 - $47 5%
Mvp $24 - $47 5%
Nascentia Health Options $24 5%
Nebraska Total Care $24 5%
New York Cancer Services Program $24 5%
Nextlevel Health $24 5%
Oregon Screenwise $24 5%
Pace Of Southwest Michigan $24 - $34 5%
Pai $24 - $47 5%
Pan-American Life $24 - $47 5%
Paramount Advantage $24 5%
Paramount Hmo $24 5%
Parkland Community Health Plan $24 5%
Partners Behavioral Lme $24 5%
Peach State Healthplan $24 5%
Phcs $24 - $47 5%
Philadelphia County Funding $24 5%
Presbyterian Centennial Care $24 5%
Prestige Health Choice $24 5%
Priority Partners $24 5%
Robert F Sing Program $24 5%
Rx 340B Pass Along $24 5%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $24 5%
Rx Medi-Cal $24 5%
Rx Meridian Rx $24 5%
Ryan White Florida Mssrp $24 5%
Sandhills Center Lme $24 5%
Screening For Life $24 5%
St Joseph County Hlth Dpt $24 5%
Stephenson Cty Health $24 5%
Sunshine State Health Plan $24 5%
Superior Health $24 5%
Tenncare $24 5%
Texas Children'S Health Plan $24 5%
Trillium Community Ohp $24 5%
Trinity Health Share $24 - $47 5%
Tufts Health Public Plans $24 5%
UnitedHealthcare $24 - $45 5%
Vaya Health Lme $24 5%
Washtenaw Health Plan $24 5%
Wellsense Health Plan $24 5%
Wi Womens Wellness $24 5%
Acclaim $25 - $60 5%
Administrative Concepts $25 - $60 5%
Allegeant $25 - $60 5%
Ameriben $25 - $60 5%
American Family $25 - $60 5%
American Healthcare Alliance $25 - $60 5%
American Republic $25 - $60 5%
Amerihealth $25 - $60 5%
Aultcare $25 - $60 5%
Automated Benefit Services $25 - $60 5%
Auxiant $25 - $60 5%
Benefit Administrative Systems,Llc $25 - $60 5%
Boon Chapman $25 - $60 5%
Cam Administrative Services $25 - $60 5%
Christian Brother Services $25 - $60 5%
Christian Brothers Holy Cross $25 - $60 5%
Comprehensive Benefits $25 - $60 5%
Continental Life Insurance $25 - $60 5%
Custom Benefit Administrators $25 - $60 5%
Employee Benefit Concepts $25 - $60 5%
Employee Benefit Management $25 - $60 5%
Enterprise Group Planning $25 - $60 5%
Freedom Life Insurance Company $25 - $60 5%
Group Administrators $25 - $60 5%
Group Marketing Services $25 - $60 5%
Guardian $25 - $60 5%
Health America $25 - $60 5%
Healthez $25 - $60 5%
Insight $25 - $60 5%
Intercare $25 5%
Jfp Benefit Management $25 - $60 5%
Jp Farley Corporation $25 - $60 5%
Key Benefit Administrator $25 - $60 5%
Liberty Union Life Assurance Co $25 - $60 5%
Lucent Health $25 - $60 5%
Luminare Health $25 - $60 5%
Luminare Health (Detroit) $25 - $60 5%
Medben $25 - $60 5%
Medcost $25 - $60 5%
Mutual Health Services $25 - $60 5%
Mutual Of Omaha $25 - $60 5%
Ncas $25 - $60 5%
Nippon Life Ins $25 - $60 5%
Nova $25 - $60 5%
Painters Union Insurance Fund $25 - $60 5%
Physicians Mutual $25 - $60 5%
Plumbers Local 98 Insurance Fund $25 - $60 5%
Prairie States $25 - $60 5%
Primary Physician Care $25 - $60 5%
Professional Benefit Administrators $25 - $60 5%
The Loomis Company $25 - $60 5%
U Of M Health Plan $25 - $68 5%
Unicare $25 - $60 5%
Us Health And Life $25 - $104 5%
Valenz $25 - $60 5%
Western & Southern Financial Group $25 - $60 5%
Wps $25 - $60 5%
Coventry $26 - $60 6%
First Health $26 - $60 6%
Champva $30 7%
Tricare $30 7%
Triwest Health Alliance $30 7%
Us Family Health Plan $30 7%
Veterans Eval Services $30 7%
Cca - Zing Health $32 - $37 7%
Magellan Behavioral Health $33 7%
Ally Align Care Adv $34 7%
American Health Advantage Of Idaho $34 7%
American Health Plan $34 7%
Aurora Special Needs $34 7%
Blue Care Network Advantage $34 7%
Blue Shield - De (Highmark) Medciare Advantage $34 7%
Care Dimensions $34 7%
Care Improvement Plus $34 7%
Care Resources Pace $34 7%
Careplus Health Plans $34 7%
Cca Senior Care Options $34 7%
Central Valley Medical Services Corp Pace $34 7%
Champion Health Plan Mcr Advantage $34 7%
Clear Spring Health $34 7%
Clover Health $34 7%
Commonwealth Care Alliance $34 7%
Community Pace At Home $34 7%
Eddy Senior Care-Pace $34 7%
Eddy Seniorcare Pace $34 7%
Elementcare $34 7%
Evercare $34 7%
Everence $34 7%
Gateway Health Plan $34 7%
Genesys Pace Of Genesee County $34 7%
Georgia Health Advantage $34 7%
Gold Advantage $34 7%
Gpa Croell Redi Mix $34 7%
Health America Advantra $34 7%
Highmark Health Options Dual Plan $34 7%
Hope Select Pace $34 7%
Horizon Nj Total Care $34 7%
Hudson Headwaters Pace $34 7%
Huron Valley Pace $34 7%
Innovative Integrated Health Community Plans $34 7%
Iowa Health Advantage $34 7%
Johns Hopkins Advantage Md $34 7%
Lasso Healthcare Msa $34 7%
Life St Marys Pace $34 7%
Lifecircles Pace $34 7%
Longevity Health Plan $34 7%
Martins Point Generations Advantage $34 7%
Mass General Brigham Mcr Adv $34 7%
Medicare (plans) $34 - $36 7%
Medipak Advantage $34 7%
Mercy Life $34 7%
Mercyone Cedar Valley $34 7%
Meridian Complete $34 7%
Michigan Complete Health $34 7%
Nascentia Health Plus $34 7%
New Centry Health Careplus $34 7%
Osu Prime Care Advantage $34 7%
Pace Cny $34 7%
Pace Iowa Immanuel Pathways $34 7%
Pace Southeast $34 7%
Pace-Trinity Health $34 7%
Peak Pace Solutions $34 7%
Perennial Advantage $34 7%
Preferred Care Partners $34 7%
Presbyterian Senior Plan $34 7%
Provider Partners Health Plan Of Illinois $34 7%
Provider Partners Health Plan Of Indiana $34 7%
Pruitthealth Premier $34 7%
Reliance Community Care Partners Care Resources Pace $34 7%
Rx Allwin $34 7%
Rx Grane Grnmedd $34 7%
Rx Retiree Rx Care $34 7%
Scan Health Plan Mcr Ipa Meritage Oon $34 7%
Secure Horizons Ma Pffs $34 7%
Serenity Pace $34 7%
Siouxland Pace $34 7%
Solis Health Plans $34 7%
Sunnyview-Pace Finance Dept $34 7%
Texan Plus $34 7%
Thome Pace $34 7%
Todays Options $34 7%
Tribute Health Plans $34 7%
Um Health Advantage $34 7%
Union Health Service $34 7%
Welbe Health $34 7%
Wellmed $34 7%
Align Senior Care $35 8%
Veterans Administration $35 8%
Access Health $39 9%
Health Partners $39 9%
Longevity Ipa Of Michigan Llc Health Plan Isnp $39 9%
Tufts Health Plan $39 9%
American Postal Workers Secondary $46 10%
Molina Marketplace $47 10%
Oscar $47 10%
Wellpath $47 10%
Andrie Inc $49 11%
East Greenbush Central School District $49 11%
Genex Wc $49 11%
Healthsmart Workers Comp $49 11%
Jag Source $49 11%
New York State Insurance Fund $49 11%
Njm Insurance Group $49 11%
Rx Heatlhcomp $49 11%
Rx Restat $49 11%
Rx Saif Opdp Wc $49 11%
Rx Worker'S Comp $49 11%
Wc Ace $49 11%
Wc Acs Federal Employees $49 11%
Wc Acuity $49 11%
Wc Aegis $49 11%
Wc Aims $49 11%
Wc Alaska National Ins $49 11%
Wc Align Network $49 11%
Wc Am Trust N America $49 11%
Wc American Claims Mgmt $49 11%
Wc Benetech $49 11%
Wc Broward County $49 11%
Wc California State Comp Ins $49 11%
Wc California State Ins Fund $49 11%
Wc Capitol Area Health Consortium $49 11%
Wc Chartis $49 11%
Wc Chubb $49 11%
Wc Cirma $49 11%
Wc City Of Albany $49 11%
Wc City Of Sioux City $49 11%
Wc Claims Mgmt Inc $49 11%
Wc Cna $49 11%
Wc Comp One Admin C/O Manageability $49 11%
Wc Compone Admin $49 11%
Wc Corvel $49 11%
Wc Ct Healthcare Trust $49 11%
Wc Donegal Insurance Group $49 11%
Wc Employee Mutual $49 11%
Wc Enablecomp $49 11%
Wc Encore Health Network $49 11%
Wc Erie $49 11%
Wc Evolutions $49 11%
Wc Fed Ex $49 11%
Wc Federal Black Lung $49 11%
Wc Finley Occupational Health $49 11%
Wc First Agency/Occunet $49 11%
Wc Ford Motor $49 11%
Wc Fresno Unified Emp $49 11%
Wc General Motors $49 11%
Wc Generic $49 11%
Wc Great West Casualty $49 11%
Wc Guarantee Insurance $49 11%
Wc Hab $49 11%
Wc Hastings $49 11%
Wc Health Management $49 11%
Wc Heritage Summit $49 11%
Wc Hireright $49 11%
Wc Horizon $49 11%
Wc Icw Group $49 11%
Wc Idaho State Ins Fund $49 11%
Wc Intercare Insurance $49 11%
Wc Intermountain $49 11%
Wc Johns Eastern $49 11%
Wc Kemberton $49 11%
Wc Key Ins & Benefit Solutions $49 11%
Wc Mac Risk Management $49 11%
Wc Massachusetts $49 11%
Wc Mdia $49 11%
Wc Meadowbrook Claim $49 11%
Wc Medical Administrators $49 11%
Wc Memic $49 11%
Wc Mercy Workcare $49 11%
Wc Michigan Millers Mutual $49 11%
Wc Mra $49 11%
Wc Nationwide $49 11%
Wc Nca Comp $49 11%
Wc New York $49 11%
Wc New York Special Funds $49 11%
Wc North American Rishces $49 11%
Wc Northeast Health $49 11%
Wc Notre Dame $49 11%
Wc Novanet $49 11%
Wc O'Hara Corp $49 11%
Wc Occ Health Allen $49 11%
Wc Ohio Bureau $49 11%
Wc One Call Medical $49 11%
Wc Paradigm $49 11%
Wc Peerless $49 11%
Wc Praxis Health Network $49 11%
Wc Price Chopper $49 11%
Wc Procura Management $49 11%
Wc Qualcare $49 11%
Wc Quiktrip $49 11%
Wc Reny Company $49 11%
Wc Rev Claims $49 11%
Wc Risico $49 11%
Wc Rural Mutual $49 11%
Wc Saif Oregon $49 11%
Wc Secura $49 11%
Wc Sheakley Unicomp $49 11%
Wc Smile Lodge $49 11%
Wc Society $49 11%
Wc Srs $49 11%
Wc Taconic (Mro) $49 11%
Wc Taconic Farms $49 11%
Wc Triad Group $49 11%
Wc Troy Ny $49 11%
Wc Tyson $49 11%
Wc Unified Health Services $49 11%
Wc United Heartland $49 11%
Wc Us Dept Of Labor $49 11%
Wc Velocity $49 11%
Wc West Bend $49 11%
Wc West Bend Mutual/Argent $49 11%
Wc Winnebago Industries $49 11%
Wc Yankee Trails $49 11%
Wc York Risk $49 11%
Wc Zenith $49 11%
Partners Direct Health - Brio $50 11%
American National $52 - $60 11%
Healthcare Management Admin $52 - $60 11%
Magnacare $52 - $60 11%
Siho Insurance Services $52 - $60 11%
Claimdoc $54 12%
Kent County Jail $54 12%
Muskegon County Jail $54 12%
Bcccp-Michigan $89 - $104 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals