CMS Price Transparency Data

Psychological testing by technician

Facility: Montefiore Mount Vernon Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$267
about 0.6× the $456 Medicare rate · typically $52–$538
modeled estimate · not a bill or quote
What this hospital charges insurers
$182
Below the fair price — a good deal
about $85 under the fair price · 0.4× Medicare
Medicare pays $456 Fair price $267 This hospital $182

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $182

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

A fair price for a Psychological testing by technician is about $267 (about 0.6× the $456 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $182 — below the fair price — a good deal. Located in Mount Vernon, NY.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $37 - $558 8%
Blue Cross Blue Shieldmajor $163 - $558 36%
Humanamajor $613 134%
Fidelis Care $163 - $558 36%
Molina $163 - $770 36%
MVP Health Care $163 - $335 36%
SelectHealth $188 41%
WellCare $165 - $569 36%
+ 13 smaller / regional plans $37 - $725
Government programs also on file: Medicaid.

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: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals