CMS Price Transparency Data

Psychological testing evaluation

Facility: Howard County Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $30
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Howard County Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.22x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)
Insurance Median: $30 (22%)
Ins. Median: $30 (22% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $18 13%
Aetna $22 16%
Blue Cross Blue Shield $22 - $184 16%
Great Plains $22 16%
Medica Chi $22 16%
Medica Elevate $22 - $43 16%
Medica Standard Premier $22 16%
Nebraska Total Care - Wellcare $22 16%
Tricare $22 16%
UnitedHealthcare $22 - $92 16%
Molina Healthcare $23 17%
Oscar Health $38 28%
Ambetter / Centene $43 32%
Beshp $43 32%
Medica Ifb Aco $43 32%
Medica Chi Aco $45 33%
Medica Choice National $48 35%
Medica Ifb Open Access $56 41%
Midland'S Choice $80 59%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals