CMS Price Transparency Data

Psychological testing evaluation

Facility: Dekalb Community Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$114
about 0.8× the $136 Medicare rate · typically $44–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$122
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $114 This hospital $122

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 $20 Priciest $122

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 evaluation is about $114 (about 0.8× the $136 Medicare rate). Dekalb Community Hospital charges insurers about $122 — about the fair price. Located in Smithville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $122 90%
Blue Cross Blue Shieldmajor $122 - $128 90%
Aetnamajor $24 - $124 18%
Humanamajor $122 90%
Ambetter (Centene) $158 116%
Amerigroup $122 90%
Cigna HealthSpring $122 90%
Oscar Health $170 125%
+ 5 smaller / regional plans $110 - $170
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals