CMS Price Transparency Data

Psychological testing evaluation

Facility: St Jude Childrens Research Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $62
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at St Jude Childrens Research Hospital is $62. 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 0.46x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $62 (46%)
Ins. Median: $62 (46% 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
Healthcare Connections La $11 8%
UnitedHealthcare $11 - $276 8%
Healthy Blue $18 13%
Health Choice - Ok $44 32%
Vantage $44 - $49 32%
Humana $47 35%
Tricare $51 38%
Aetna $55 40%
Private Health Care Systems $58 43%
Ms Physicians Care Network $62 46%
Baptist Health $66 49%
Cigna $66 49%
First Health Ccn $66 49%
Health Choice $66 49%
Health Link Mississippi $66 49%
Healthscope Benefits Inc $66 49%
Home State Health $73 54%
Medicaid / KanCare $73 54%
Molina Marketplace Of Ms $73 54%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 262 Danny Thomas Place, Memphis, TN 38105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens