CMS Price Transparency Data

Psychological testing evaluation

Facility: Howard County Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 0.4× the $136 Medicare rate · typically $26–$186
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $10 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $48 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NE hospitals compared.

Cheapest $22 Priciest $163

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $48 (about 0.4× the $136 Medicare rate). Howard County Medical Center charges insurers about $38 — below the fair price — a good deal. Located in St Paul, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor $22 - $92 16%
Blue Cross Blue Shieldmajor $22 - $184 16%
Aetnamajor $22 16%
Humanamajor $18 13%
Ambetter (Centene) $43 32%
Medica $22 - $56 16%
Molina $23 17%
Oscar Health $38 28%
WellCare $22 16%
+ 3 smaller / regional plans $22 - $80
Government programs also on file: Military & VA.

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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