CMS Price Transparency Data

Psychological testing evaluation

Facility: St Clair Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$82
about 0.6× the $136 Medicare rate · typically $35–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$290
Well above the fair price
about $208 over the fair price · 2.1× Medicare
Medicare pays $136 Fair price $82 This hospital $290 Cash price $95 Hospital's list price $381

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $20 Priciest $290

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

A fair price for a Psychological testing evaluation is about $82 (about 0.6× the $136 Medicare rate). St Clair Hospital charges insurers about $290, or about $95 in cash — well above the fair price. Located in Pittsburgh, PA.

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 $82. 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 $130 - $425 96%
Blue Cross Blue Shieldmajor $115 - $290 85%
Aetnamajor $133 - $347 98%
Cignamajor $135 - $297 99%
Humanamajor $130 96%
AmeriHealth $130 96%
Geisinger $133 98%
HealthPartners $136 100%
UPMC Health Plan $31 - $130 23%
+ 3 smaller / regional plans $135 - $311

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: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals