CMS Price Transparency Data

Psychological testing by technician

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$228

about 0.5× the $456 Medicare rate · typically $83–$428

modeled estimate · not a bill or quote

What this hospital charges insurers

$134

Below the fair price — a good deal

about $94 under the fair price · 0.3× Medicare

Medicare pays $456 Fair price $228 This hospital $134

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $134

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $228 (about 0.5× the $456 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $134 — below the fair price — a good deal. Located in Jefferson City, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$445	98%
Blue Cross Blue Shieldmajor	$64 - $454	14%
Humanamajor	$455	100%
Ambetter (Centene)	$447	98%
+ 4 smaller / regional plans	$470 - $805

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm SSM Health St. Mary's Hospital - Jefferson City is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM Health St. Mary's Hospital - Jefferson City

Compare: Psychological testing by technician at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.