CMS Price Transparency Data

Psychological testing by technician

Facility: St James Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$258
about 0.6× the $456 Medicare rate · typically $43–$561
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,260
Well above the fair price
about $1,002 over the fair price · 2.8× Medicare
Medicare pays $456 Fair price $258 This hospital $1,260

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 $1,260

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 $258 (about 0.6× the $456 Medicare rate). St James Hospital charges insurers about $1,260 — well above the fair price. Located in Hornell, NY.

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 $258. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $597 131%
Blue Cross Blue Shieldmajor $597 - $1,335 131%
Aetnamajor $597 131%
Cignamajor $1,343 294%
Humanamajor $597 131%
MVP Health Care $1,265 - $1,297 277%
+ 1 smaller / regional plan $1,260
Government programs also on file: Medicare.

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: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals