CMS Price Transparency Data

Psychological testing by technician

Facility: SSM Health Saint Louis University Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$200

about 0.4× the $456 Medicare rate · typically $49–$457

modeled estimate · not a bill or quote

What this hospital charges insurers

$96

Below the fair price — a good deal

about $104 under the fair price · 0.2× Medicare

Medicare pays $456 Fair price $200 This hospital $96

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MO hospitals compared.

Cheapest $32 Priciest $110

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 $200 (about 0.4× the $456 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $96 — below the fair price — a good deal. Located in Saint Louis, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$45 - $438	10%
Aetnamajor	$447 - $456	98%
Humanamajor	$455	100%
Ambetter (Centene)	$452	99%
Oscar Health	$537	118%
+ 1 smaller / regional plan	$461

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 Saint Louis University Hospital 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 Saint Louis University Hospital

Compare: Psychological testing by technician at other MO hospitals

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