CMS Price Transparency Data

Psychological testing evaluation

Facility: St John Owasso

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $126
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at St John Owasso is $126. 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 0.93x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $126 (93%)
Ins. Median: $126 (93% 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
Champva $123 90%
Community Care - St John Network Senior - Govt $123 90%
Communitycare Senior $123 90%
Life Pace $123 90%
Longevity Health Plan Of Oklahoma $123 90%
Medicare (plans) $123 90%
UnitedHealthcare $123 - $126 90%
Va Community Care Network $123 90%
Veterans Administration $123 90%
Humana $124 91%
Blue Cross Blue Shield $129 95%
Communitycare (Standard) $135 99%
Community Care (Select) 7/1/13 $147 108%
Ccl&H $159 117%
Smarthealth $172 127%
Community Care Smarthealth $184 - $294 135%
Communitycare (Select) $184 - $282 135%
Connect Health Benefit $245 180%
Evolutions $245 180%
Kempton Group Administrators $276 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12451 East 100Th Street North, Owasso, OK 74055
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals