CMS Price Transparency Data

Psychological testing evaluation

Facility: St. Patrick Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$119
about 0.9× the $136 Medicare rate · typically $85–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
Above the fair price
about $20 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $119 This hospital $139

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 5 MT hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $139

Black dot = this hospital, among the 5 MT hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $119 (about 0.9× the $136 Medicare rate). St. Patrick Hospital charges insurers about $139 — above the fair price. Located in Missoula, MT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $119. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 $137 101%
Humanamajor $139 102%
PacificSource $140 103%
+ 2 smaller / regional plans $50 - $379

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals