CMS Price Transparency Data
Hospital file updated: 2026-03-31
Psychological testing evaluation
Facility: Chelsea Hospital
Billing Code: 96136 (CPT)
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$95Fair BaseRate (0.18× Market)
Position vs. 1.00× Fair Price82% Below Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
This hospital's typical commercial price is $17 compared to the $95 fair price benchmark.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score78/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.
4-Star CMS clinical quality rating paired with 0.18× fair market pricing.
The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.7× the $136 Medicare rate · typically $27–$171
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $95 Cash price $17 Hospital's list price $26
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
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| UnitedHealthcaremajor | $17 | 13% |
| Blue Cross Blue Shieldmajor | $6 - $10 | 4% |
| Aetnamajor | $12 - $18 | 9% |
| Cignamajor | $18 | 13% |
| Humanamajor | $17 | 13% |
| Kaiser Permanentemajor | $10 | 7% |
| AmeriHealth | $17 | 13% |
| CareSource | $125 | 92% |
| Dean Health Plan | $20 | 15% |
| GEHA | $14 - $17 | 10% |
| Health Net | $26 | 19% |
| HealthPartners | $20 | 15% |
| MagnaCare | $17 | 13% |
| Medical Mutual | $17 | 13% |
| MVP Health Care | $20 | 15% |
| Paramount | $20 | 15% |
| Priority Health | $40 - $45 | 29% |
| Tufts Health Plan | $20 | 15% |
| UniCare | $17 | 13% |
| + 115 smaller / regional plans | $7 - $125 |
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
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Other Procedures at Chelsea Hospital
Compare: Psychological testing evaluation at other MI hospitals
- Trinity Health Muskegon Hospital · Muskegon $22
- University of Michigan Health System · Ann Arbor $23
- 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
- McLaren Bay Region · Bay City $28
Insurance negotiated median for the same procedure, sorted lowest first.
Inline Bill X-Ray & 501(r) Calculator
501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%
Audit a Bill or Quote at Chelsea Hospital (Zero PHI Required)
CMS CCN: 230259
CPT 96136
Fair BaseRate™ $95
Medicare Rate $136
Self-Pay Cash $17
Insurer Median $109
Pre-filled with Chelsea Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check
501(r) AGB Cap: $9 (274% FPL)
Statutory 501(r) AGB Cap Limits Bill to $9
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $9).
Step 2 · Cash vs. Insurance Arbitrage
Save $9 Paying Cash
Self-Pay Cash Rate ($17) Beats Your Bill
Chelsea Hospital's published 45 CFR § 180 self-pay cash rate is $17 (vs. $109 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Step 3 · Fair BaseRate Target
Target: $95 Fair BaseRate
Negotiate Toward $95 Fair BaseRate ($136 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($95).
1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Overall4/5 Stars (4/5)
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
45 CFR § 180 Primary-Source Lineage & Federal Verification
Verified
CMS CCN 230259
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
MRF Portal Indexed (381917674_st-joseph-mercy-chelsea_standardcharges.zip!381917674_St-Joseph-Mercy-Chelsea_standardcharges.csv)
Verify on CMS Medicare.gov (CCN 230259) ↗
CMS HCRIS Cost Reports ↗
Published MRF File381917674_st-joseph-mercy-chelsea_standardcharges.zip!381917674_St-Joseph-Mercy-Chelsea_standardcharges.csv
Publication / Vintage2026-03-31 · 268.22 MB
Validated Rate Rows29,553,585 (CMS v3.0.0)
File Integrity Digest1eceb08fad07827fb335…
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.