CMS Price Transparency Data

Psychological testing evaluation

Facility: SSM Health Saint Louis University Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$100
about 0.7× the $136 Medicare rate · typically $38–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
Below the fair price — a good deal
about $36 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $100 This hospital $64

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

On the higher side — 7 of 8 other MO hospitals charge less.

Cheapest $25 Priciest $74

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 evaluation is about $100 (about 0.7× the $136 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $64 — 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 $30 - $131 22%
Aetnamajor $133 - $136 98%
Humanamajor $136 100%
Ambetter (Centene) $135 99%
Oscar Health $160 118%
+ 1 smaller / regional plan $137

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Facility Profile & Credentials

  • Address: 1201 S Grand Blvd, Saint Louis, MO 63104
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals