Psychological testing evaluation
Facility: Mercy Health Saint Mary's
Billing Code: 96136 (CPT)
Highest price of the 9 MI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Psychological testing evaluation is about $35 (about 0.3× the $136 Medicare rate). Mercy Health Saint Mary's charges insurers about $41, or about $21 in cash — above the fair price. Located in Grand Rapids, MI.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $35. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $25 - $57 | 18% |
| Blue Cross Blue Shieldmajor | $16 - $65 | 12% |
| Aetnamajor | $15 - $70 | 11% |
| Cignamajor | $24 - $59 | 18% |
| Humanamajor | $25 - $65 | 18% |
| Kaiser Permanentemajor | $16 | 12% |
| Ambetter (Centene) | $28 | 21% |
| AmeriHealth | $25 - $65 | 18% |
| CareSource | $22 | 16% |
| Clover Health | $41 | 30% |
| Dean Health Plan | $24 - $56 | 18% |
| GEHA | $21 - $55 | 15% |
| Health Net | $28 - $61 | 21% |
| HealthPartners | $28 - $49 | 21% |
| MagnaCare | $65 | 48% |
| Medical Mutual | $21 - $65 | 15% |
| Meridian | $28 - $41 | 21% |
| Molina | $28 - $56 | 21% |
| MVP Health Care | $24 - $56 | 18% |
| Oscar Health | $56 | 41% |
| Paramount | $24 - $28 | 18% |
| Presbyterian | $28 - $41 | 21% |
| Priority Health | $22 - $63 | 16% |
| Tufts Health Plan | $28 - $49 | 21% |
| UniCare | $25 - $65 | 18% |
| WellMed | $41 | 30% |
| WellSense | $28 | 21% |
| + 425 smaller / regional plans | $16 - $112 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Health Saint Mary's
Compare: Psychological testing evaluation at other MI hospitals
- Trinity Health Muskegon Hospital · Muskegon $22
- University of Michigan Health System · Ann Arbor $23
- Helen Newberry Joy Hospital · Newberry $24
- Munson Healthcare Otsego Memorial Hospital · Gaylord $25
- Charlevoix Area Hospital · Charlevoix $25
- McLaren Central Michigan · Mount Pleasant $27
- McLaren Port Huron · Port Huron $27
- Huron Valley-Sinai Hospital · Commerce Township $27
Insurance negotiated median for the same procedure, sorted lowest first.