CMS Price Transparency Data

Psychological testing evaluation

Facility: Mercy Health Saint Mary's

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $41
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Mercy Health Saint Mary's is $41. 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 $135.93, this hospital’s rate is 0.30x 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
$41

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)
Cash / Self-Pay: $21 (15%)
Insurance Median: $41 (30%)
Cash: $21 (15% of Medicare)
Ins. Median: $41 (30% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 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

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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 - $70 11%
Bcn Domestic $16 12%
Blue Benefit Administrators Of Massachusetts $16 - $57 12%
Blue Care Network $16 - $65 12%
Blue Cross Blue Shield $16 - $57 12%
Blue Distinction Transplant $16 - $57 12%
Blue Shield - Ca $16 - $57 12%
Blue Shield - Id (Regence) $16 - $57 12%
Blue Shield - Ny Highmark Northeastern $16 - $57 12%
Blue Shield - Ny Highmark Western $16 - $57 12%
Blue Shield - Pa (Highmark) $16 - $57 12%
Blue Shield - Wa (Regence) $16 - $57 12%
Health Choices $16 - $65 12%
Kaiser Domestic $16 12%
Nomi Health $18 - $65 13%
Wc Accident Fund $18 - $58 13%
Wc Advantage $18 - $58 13%
Wc Aig $18 - $58 13%
Wc Allied $18 - $58 13%
Wc Amerisure $18 - $58 13%
Wc Amtrust $18 - $58 13%
Wc Asu Risk Mgt $18 - $58 13%
Wc Berkley Admin $18 - $58 13%
Wc Broadspire $18 - $58 13%
Wc Bunch & Associates $18 - $58 13%
Wc Ccmsi $18 - $58 13%
Wc Emc Insurance Company $18 - $58 13%
Wc Esis $18 - $58 13%
Wc Fcci $18 - $58 13%
Wc Federated $18 - $58 13%
Wc Gallagher Bassett $18 - $58 13%
Wc Genex Care For Ohio $18 - $58 13%
Wc Guard Insurance Company $18 - $58 13%
Wc Hartford $18 - $58 13%
Wc Liberty Mutual $18 - $58 13%
Wc Meijers $18 - $58 13%
Wc Michigan $18 - $58 13%
Wc Mitchell Frankenmuth $18 - $58 13%
Wc Pma $18 - $58 13%
Wc Sedgwick $18 - $58 13%
Wc Sentry $18 - $58 13%
Wc Travelers $18 - $58 13%
Wc Tristar $18 - $58 13%
Wc Walmart $18 - $58 13%
Wc Zurich $18 - $58 13%
Acs Benefit Services $19 14%
Allied Benefit Systems $19 - $65 14%
Claimchoice Adminstrators $19 - $65 14%
Consociate $19 - $65 14%
Cypress Benefit Administrators $19 - $65 14%
Forest County Potawatomi $19 - $65 14%
Health Smart $19 - $65 14%
Healthgram $19 - $65 14%
Healthscope $19 - $65 14%
Secureone Preferred United Plans $19 - $65 14%
Sisco Benefits $19 - $65 14%
The Health Plan $19 - $65 14%
Trustmark Small Business Benefits $19 - $65 14%
Unified Group Services $19 - $65 14%
Webtpa $19 - $65 14%
Asr Health Benefits $21 - $53 15%
Geha $21 - $55 15%
Hap $21 - $81 15%
Medical Mutual $21 - $65 15%
Meritain $21 - $70 15%
Preferred One $21 - $65 15%
Varipro $21 - $81 15%
Caresource $22 16%
Priority Health $22 - $63 16%
1199 National Benefit Fund $24 - $56 18%
Allied National Global Care $24 - $56 18%
Asrm - Reliance Standard Life Insurance $24 - $56 18%
Christian Care Ministry $24 - $56 18%
Cigna $24 - $59 18%
Dean Health $24 - $56 18%
Fallon Health $24 - $56 18%
Family Life Insurance Company $24 - $56 18%
Ghc Scw $24 18%
Group Pension Administrators $24 - $65 18%
International Benefit Administrators $24 - $56 18%
Lifetime Benefit Solutions $24 - $56 18%
Manhattan Life $24 - $56 18%
Medi Share $24 18%
Multiplan $24 - $56 18%
Mvp $24 - $56 18%
Pai $24 - $56 18%
Pan-American Life $24 - $56 18%
Paramount Hmo $24 18%
Phcs $24 - $56 18%
Trinity Health Share $24 - $56 18%
Acclaim $25 - $65 18%
Administrative Concepts $25 - $65 18%
Allegeant $25 - $65 18%
Ameriben $25 - $65 18%
American Family $25 - $65 18%
American Healthcare Alliance $25 - $65 18%
American Republic $25 - $65 18%
Amerihealth $25 - $65 18%
Aultcare $25 - $65 18%
Automated Benefit Services $25 - $65 18%
Auxiant $25 - $65 18%
Benefit Administrative Systems,Llc $25 - $65 18%
Boon Chapman $25 - $65 18%
Cam Administrative Services $25 - $65 18%
Christian Brother Services $25 - $65 18%
Christian Brothers Holy Cross $25 - $65 18%
Comprehensive Benefits $25 - $65 18%
Continental Life Insurance $25 - $65 18%
Custom Benefit Administrators $25 - $65 18%
Employee Benefit Concepts $25 - $65 18%
Employee Benefit Management $25 - $65 18%
Enterprise Group Planning $25 - $65 18%
Freedom Life Insurance Company $25 - $65 18%
Group Administrators $25 - $65 18%
Group Marketing Services $25 - $65 18%
Guardian $25 - $65 18%
Health America $25 - $65 18%
Healthez $25 - $65 18%
Humana $25 - $65 18%
Insight $25 - $65 18%
Intercare $25 - $112 18%
Jfp Benefit Management $25 - $65 18%
Jp Farley Corporation $25 - $65 18%
Key Benefit Administrator $25 - $65 18%
Liberty Union Life Assurance Co $25 - $65 18%
Lucent Health $25 - $65 18%
Luminare Health $25 - $65 18%
Luminare Health (Detroit) $25 - $65 18%
Medben $25 - $65 18%
Medcost $25 - $65 18%
Mutual Health Services $25 - $65 18%
Mutual Of Omaha $25 - $65 18%
Ncas $25 - $65 18%
Nippon Life Ins $25 - $65 18%
Nova $25 - $65 18%
Painters Union Insurance Fund $25 - $65 18%
Physicians Mutual $25 - $65 18%
Plumbers Local 98 Insurance Fund $25 - $65 18%
Prairie States $25 - $65 18%
Primary Physician Care $25 - $65 18%
Professional Benefit Administrators $25 - $65 18%
The Loomis Company $25 - $65 18%
U Of M Health Plan $25 - $88 18%
Unicare $25 - $65 18%
UnitedHealthcare $25 - $57 18%
Us Health And Life $25 - $112 18%
Valenz $25 - $65 18%
Western & Southern Financial Group $25 - $65 18%
Wps $25 - $65 18%
Coventry $26 - $65 19%
First Health $26 - $65 19%
Medicaid / KanCare $27 - $112 20%
Albany County Correctional Facility $28 21%
Ambetter / Centene $28 21%
Amish Mennonite $28 21%
Ascension St. Vincent Public Safety Medical $28 21%
Bccp $28 21%
Bmc Healthnet $28 21%
Breast Grant-Connecticut $28 21%
Broward County Dept Of Health $28 21%
California Health And Wellness $28 21%
Cardinal Innovations Lme $28 21%
Care Connections Of Northern Iowa $28 21%
Care Oregon Ohp $28 21%
Cencal Health Plan $28 21%
Cenpatico $28 21%
Chhuny $28 21%
Childrens Comm Health Plan $28 21%
Childrens Medical Services Title 19 $28 21%
City Of Philadelphia $28 21%
Cmh Allegan County $28 - $33 21%
Cmh Ausable Valley $28 - $33 21%
Cmh Barry County $28 - $33 21%
Cmh Bay-Arenac County $28 21%
Cmh Berrien County $28 - $33 21%
Cmh Cass County $28 - $33 21%
Cmh Central Mi County $28 21%
Cmh Clinton-Eaton-Ingham County $28 - $33 21%
Cmh Detroit Wayne Integrated Health Network $28 21%
Cmh Genesee County $28 21%
Cmh Ionia County $28 21%
Cmh Jackson County/Lifeways $28 21%
Cmh Kalamazoo $28 - $33 21%
Cmh Kent County $28 - $33 21%
Cmh Lenawee County $28 - $33 21%
Cmh Livingston County $28 21%
Cmh Macomb $28 21%
Cmh Misc $28 - $33 21%
Cmh Monroe County $28 - $33 21%
Cmh Montcalm County $28 - $33 21%
Cmh Muskegon County $28 - $33 21%
Cmh Newaygo County $28 - $33 21%
Cmh North Country $28 - $33 21%
Cmh Northern Lakes County $28 - $33 21%
Cmh Oakland County $28 21%
Cmh Ottawa County $28 - $33 21%
Cmh Van Buren County $28 - $33 21%
Cmh Washtenaw County $28 21%
Cmh Wayne County/Carelink $28 21%
Cmh Wayne Cty/Com Liv Svcs $28 21%
Cmh West Mi County $28 - $33 21%
Community Benefit Health $28 21%
Community Care Behavorial Health $28 21%
Community Care Partners $28 21%
Community Health Choice $28 21%
Connections Csp $28 21%
County Coroner $28 21%
County Funding Generic $28 21%
Covid19 Hrsa Uninsured Testing And Treatment Fund $28 21%
Dean Wi Badgercare $28 21%
Delaware County Department Of Health $28 21%
Delaware First Health $28 21%
Delta Dental Nj $28 21%
Dph Tb Program $28 21%
Dscc $28 21%
Eastpointe Lme $28 21%
Family Health Network $28 21%
Freedom First Healthcare $28 21%
Fresno County Ccs $28 21%
Ghc Scw Wi Badgercare $28 21%
Harbor Health $28 21%
Health Safety Net $28 21%
Healthy Blue Ne $28 21%
Hennepin Health $28 21%
Id County Ada $28 21%
Id County Canyon $28 21%
Id County Cat Fund $28 21%
Id County Other $28 21%
Id County Payette $28 21%
Idaho Dept Health And Wellfare $28 21%
Idaho Womens Health Check $28 21%
Indiana Breast Cervical Cancer $28 21%
Inland Empire Health Plan $28 21%
Intercommunity Health Ohp $28 21%
Iowa Total Care $28 21%
Jai Medical System $28 21%
Kern Family Health Plan $28 21%
Keystone First $28 21%
Keystone First Chip $28 21%
La Care Health Plan $28 21%
Lakeland Care Inc $28 21%
Managed Health Services - Indiana $28 21%
Maryland Breast & Cervical Program $28 21%
Maryland Healthy Smiles - Scion Dental $28 21%
Maryland Physicians Care $28 21%
Massachusetts Behavioral Health Partnership $28 21%
Mdwise $28 21%
Medi-Cal $28 21%
Medi-Cal Healthnet $28 21%
Medstar Dc Healthy Family $28 21%
Medstar Md Health Choice $28 21%
Mo Home State Health Plan $28 21%
Molina Centennial Care $28 21%
Nascentia Health Options $28 21%
Nebraska Total Care $28 21%
New York Cancer Services Program $28 21%
Nextlevel Health $28 21%
Oregon Screenwise $28 21%
Pace Of Southwest Michigan $28 - $41 21%
Paramount Advantage $28 21%
Parkland Community Health Plan $28 21%
Partners Behavioral Lme $28 21%
Peach State Healthplan $28 21%
Philadelphia County Funding $28 21%
Presbyterian Centennial Care $28 21%
Prestige Health Choice $28 21%
Priority Partners $28 21%
Robert F Sing Program $28 21%
Rx 340B Pass Along $28 21%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $28 21%
Rx Medi-Cal $28 21%
Rx Meridian Rx $28 21%
Ryan White Florida Mssrp $28 21%
Sandhills Center Lme $28 21%
Screening For Life $28 21%
St Joseph County Hlth Dpt $28 21%
Stephenson Cty Health $28 21%
Sunshine State Health Plan $28 21%
Superior Health $28 21%
Tenncare $28 21%
Texas Children'S Health Plan $28 21%
Trillium Community Ohp $28 21%
Tufts Health Public Plans $28 21%
Vaya Health Lme $28 21%
Washtenaw Health Plan $28 21%
Wellsense Health Plan $28 21%
Wi Womens Wellness $28 21%
Magellan Behavioral Health $33 24%
Cca - Zing Health $38 28%
Champva $38 28%
Tricare $38 28%
Triwest Health Alliance $38 28%
Us Family Health Plan $38 28%
Veterans Eval Services $38 28%
Ally Align Care Adv $41 30%
American Health Advantage Of Idaho $41 30%
American Health Plan $41 30%
Aurora Special Needs $41 30%
Blue Care Network Advantage $41 30%
Blue Shield - De (Highmark) Medciare Advantage $41 30%
Care Dimensions $41 30%
Care Improvement Plus $41 30%
Care Resources Pace $41 30%
Careplus Health Plans $41 30%
Cca Senior Care Options $41 30%
Central Valley Medical Services Corp Pace $41 30%
Champion Health Plan Mcr Advantage $41 30%
Clear Spring Health $41 30%
Clover Health $41 30%
Commonwealth Care Alliance $41 30%
Community Pace At Home $41 30%
Eddy Senior Care-Pace $41 30%
Eddy Seniorcare Pace $41 30%
Elementcare $41 30%
Evercare $41 30%
Everence $41 30%
Gateway Health Plan $41 30%
Genesys Pace Of Genesee County $41 30%
Georgia Health Advantage $41 30%
Gold Advantage $41 30%
Gpa Croell Redi Mix $41 30%
Health America Advantra $41 30%
Highmark Health Options Dual Plan $41 30%
Hope Select Pace $41 30%
Horizon Nj Total Care $41 30%
Hudson Headwaters Pace $41 30%
Huron Valley Pace $41 30%
Innovative Integrated Health Community Plans $41 30%
Iowa Health Advantage $41 30%
Johns Hopkins Advantage Md $41 30%
Lasso Healthcare Msa $41 30%
Life St Marys Pace $41 30%
Lifecircles Pace $41 30%
Longevity Health Plan $41 30%
Martins Point Generations Advantage $41 30%
Mass General Brigham Mcr Adv $41 30%
Medicare (plans) $41 - $43 30%
Medipak Advantage $41 30%
Mercy Life $41 30%
Mercyone Cedar Valley $41 30%
Meridian Complete $41 30%
Michigan Complete Health $41 30%
Nascentia Health Plus $41 30%
New Centry Health Careplus $41 30%
Osu Prime Care Advantage $41 30%
Pace Cny $41 30%
Pace Iowa Immanuel Pathways $41 30%
Pace Southeast $41 30%
Pace-Trinity Health $41 30%
Peak Pace Solutions $41 30%
Perennial Advantage $41 30%
Preferred Care Partners $41 30%
Presbyterian Senior Plan $41 30%
Provider Partners Health Plan Of Illinois $41 30%
Provider Partners Health Plan Of Indiana $41 30%
Pruitthealth Premier $41 30%
Reliance Community Care Partners Care Resources Pace $41 30%
Rx Allwin $41 30%
Rx Grane Grnmedd $41 30%
Rx Retiree Rx Care $41 30%
Scan Health Plan Mcr Ipa Meritage Oon $41 30%
Secure Horizons Ma Pffs $41 30%
Serenity Pace $41 30%
Siouxland Pace $41 30%
Solis Health Plans $41 30%
Sunnyview-Pace Finance Dept $41 30%
Texan Plus $41 30%
Thome Pace $41 30%
Todays Options $41 30%
Tribute Health Plans $41 30%
Um Health Advantage $41 30%
Union Health Service $41 30%
Welbe Health $41 30%
Wellmed $41 30%
Align Senior Care $42 31%
Veterans Administration $42 31%
Access Health $47 35%
Longevity Ipa Of Michigan Llc Health Plan Isnp $47 35%
Health Partners $49 36%
Tufts Health Plan $49 36%
Molina Marketplace $56 41%
Oscar $56 41%
Wellpath $56 41%
American Postal Workers Secondary $59 43%
Partners Direct Health - Brio $60 44%
Andrie Inc $61 45%
East Greenbush Central School District $61 45%
Genex Wc $61 45%
Healthsmart Workers Comp $61 45%
Jag Source $61 45%
New York State Insurance Fund $61 45%
Njm Insurance Group $61 45%
Rx Heatlhcomp $61 45%
Rx Restat $61 45%
Rx Saif Opdp Wc $61 45%
Rx Worker'S Comp $61 45%
Wc Ace $61 45%
Wc Acs Federal Employees $61 45%
Wc Acuity $61 45%
Wc Aegis $61 45%
Wc Aims $61 45%
Wc Alaska National Ins $61 45%
Wc Align Network $61 45%
Wc Am Trust N America $61 45%
Wc American Claims Mgmt $61 45%
Wc Benetech $61 45%
Wc Broward County $61 45%
Wc California State Comp Ins $61 45%
Wc California State Ins Fund $61 45%
Wc Capitol Area Health Consortium $61 45%
Wc Chartis $61 45%
Wc Chubb $61 45%
Wc Cirma $61 45%
Wc City Of Albany $61 45%
Wc City Of Sioux City $61 45%
Wc Claims Mgmt Inc $61 45%
Wc Cna $61 45%
Wc Comp One Admin C/O Manageability $61 45%
Wc Compone Admin $61 45%
Wc Corvel $61 45%
Wc Ct Healthcare Trust $61 45%
Wc Donegal Insurance Group $61 45%
Wc Employee Mutual $61 45%
Wc Enablecomp $61 45%
Wc Encore Health Network $61 45%
Wc Erie $61 45%
Wc Evolutions $61 45%
Wc Fed Ex $61 45%
Wc Federal Black Lung $61 45%
Wc Finley Occupational Health $61 45%
Wc First Agency/Occunet $61 45%
Wc Ford Motor $61 45%
Wc Fresno Unified Emp $61 45%
Wc General Motors $61 45%
Wc Generic $61 45%
Wc Great West Casualty $61 45%
Wc Guarantee Insurance $61 45%
Wc Hab $61 45%
Wc Hastings $61 45%
Wc Health Management $61 45%
Wc Heritage Summit $61 45%
Wc Hireright $61 45%
Wc Horizon $61 45%
Wc Icw Group $61 45%
Wc Idaho State Ins Fund $61 45%
Wc Intercare Insurance $61 45%
Wc Intermountain $61 45%
Wc Johns Eastern $61 45%
Wc Kemberton $61 45%
Wc Key Ins & Benefit Solutions $61 45%
Wc Mac Risk Management $61 45%
Wc Massachusetts $61 45%
Wc Mdia $61 45%
Wc Meadowbrook Claim $61 45%
Wc Medical Administrators $61 45%
Wc Memic $61 45%
Wc Mercy Workcare $61 45%
Wc Michigan Millers Mutual $61 45%
Wc Mra $61 45%
Wc Nationwide $61 45%
Wc Nca Comp $61 45%
Wc New York $61 45%
Wc New York Special Funds $61 45%
Wc North American Rishces $61 45%
Wc Northeast Health $61 45%
Wc Notre Dame $61 45%
Wc Novanet $61 45%
Wc O'Hara Corp $61 45%
Wc Occ Health Allen $61 45%
Wc Ohio Bureau $61 45%
Wc One Call Medical $61 45%
Wc Paradigm $61 45%
Wc Peerless $61 45%
Wc Praxis Health Network $61 45%
Wc Price Chopper $61 45%
Wc Procura Management $61 45%
Wc Qualcare $61 45%
Wc Quiktrip $61 45%
Wc Reny Company $61 45%
Wc Rev Claims $61 45%
Wc Risico $61 45%
Wc Rural Mutual $61 45%
Wc Saif Oregon $61 45%
Wc Secura $61 45%
Wc Sheakley Unicomp $61 45%
Wc Smile Lodge $61 45%
Wc Society $61 45%
Wc Srs $61 45%
Wc Taconic (Mro) $61 45%
Wc Taconic Farms $61 45%
Wc Triad Group $61 45%
Wc Troy Ny $61 45%
Wc Tyson $61 45%
Wc Unified Health Services $61 45%
Wc United Heartland $61 45%
Wc Us Dept Of Labor $61 45%
Wc Velocity $61 45%
Wc West Bend $61 45%
Wc West Bend Mutual/Argent $61 45%
Wc Winnebago Industries $61 45%
Wc Yankee Trails $61 45%
Wc York Risk $61 45%
Wc Zenith $61 45%
American National $65 48%
Claimdoc $65 48%
Healthcare Management Admin $65 48%
Kent County Jail $65 48%
Magnacare $65 48%
Muskegon County Jail $65 48%
Siho Insurance Services $65 48%
Bcccp-Michigan $112 82%

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