CMS Price Transparency Data

Psychological testing by technician

Facility: Mercy Hospital St Louis

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$198
about 0.4× the $456 Medicare rate · typically $51–$639
modeled estimate · not a bill or quote
Medicare pays $456 Fair price $198 Cash price $35 Hospital's list price $54

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $591 - $726 129%
Blue Cross Blue Shieldmajor $26 - $162 6%
Aetnamajor $19 4%
Cignamajor $24 - $41 5%
Ambetter (Centene) $15 3%
HealthLink $23 - $37 5%
Medica $14 - $679 3%
+ 20 smaller / regional plans $15 - $38
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 615 New Ballas Road, Saint Louis, MO 63141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals