CMS Price Transparency Data

Psychological testing evaluation

Facility: Mosaic Life Care at St Joseph

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $30
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Mosaic Life Care at St Joseph is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.22x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $30 (22%)
Insurance Median: $30 (22%)
Cash: $30 (22% of Medicare)
Ins. Median: $30 (22% 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

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

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centurion $14 - $62 10%
Aetna $22 - $130 16%
Blue Cross Blue Shield $22 - $130 16%
UnitedHealthcare $22 - $130 16%
Geha Shared Services $28 - $71 21%
Amerigroup Of Iowa $30 22%
Freedom Select Healthlink $30 - $76 22%
Healthlink Open Access $30 - $76 22%
Iowa Total Care $30 22%
Molina Of Iowa $30 22%
Preferred Health Professional $30 - $76 22%
Sisco $30 - $76 22%
Cigna $31 - $77 23%
Multiplan $32 - $70 24%
Medicaid / KanCare $41 - $51 30%
Ambetter / Centene $42 - $247 31%
Home State Of Missouri $51 38%
Healthy Blue Of Missouri $62 46%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5325 Faraon Street, Saint Joseph, MO 64506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals