CMS Price Transparency Data

Psychological testing evaluation

Facility: Shodair Children's Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.6× the $136 Medicare rate · typically $37–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $41 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $81 This hospital $40 Cash price $91 Hospital's list price $121

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 3 of 4 other MT hospitals charge more for the same procedure.

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 $81 (about 0.6× the $136 Medicare rate). Shodair Children's Hospital charges insurers about $40, or about $91 in cash — below the fair price — a good deal. Located in Helena, MT.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
PacificSource $40 29%
+ 1 smaller / regional plan $40
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 2755 Colonial Dr, Helena, MT 59601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric