CMS Price Transparency Data

Psychological testing by technician

Facility: Sycamore Shoals Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$324
about 0.7× the $456 Medicare rate · typically $82–$400
modeled estimate · not a bill or quote
What this hospital charges insurers
$386
Above the fair price
about $62 over the fair price · 0.8× Medicare
Medicare pays $456 Fair price $324 This hospital $386 Cash price $164 Hospital's list price $1,090

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $32 Priciest $386

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

A fair price for a Psychological testing by technician is about $324 (about 0.7× the $456 Medicare rate). Sycamore Shoals Hospital charges insurers about $386, or about $164 in cash — above the fair price. Located in Elizabethton, TN.

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 $324. 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 $15 - $426 3%
Blue Cross Blue Shieldmajor $383 - $846 84%
Aetnamajor $372 - $879 82%
Cignamajor $390 - $519 85%
Humanamajor $372 82%
Ambetter (Centene) $810 177%
Amerigroup $192 - $372 42%
Devoted Health $390 85%
Molina $386 - $879 85%
Sentara $303 - $846 66%
WellCare $394 - $1,090 86%
+ 3 smaller / regional plans $372 - $1,090
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals