CMS Price Transparency Data

Psychological testing evaluation

Facility: Christus Santa Rosa Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$112

about 0.8× the $136 Medicare rate · typically $75–$176

modeled estimate · not a bill or quote

What this hospital charges insurers

$125

About the fair price

about $13 over the fair price · 0.9× Medicare

Medicare pays $136 Fair price $112 This hospital $125

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $20 Priciest $125

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

A fair price for a Psychological testing evaluation is about $112 (about 0.8× the $136 Medicare rate). Christus Santa Rosa Medical Center charges insurers about $125 — about the fair price. Located in San Antonio, TX.

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	$121 - $333	89%
Blue Cross Blue Shieldmajor	$55 - $121	40%
Aetnamajor	$121 - $127	89%
Cignamajor	$129	95%
Humanamajor	$121 - $125	89%
Amerigroup	$131 - $135	96%
Cigna HealthSpring	$121	89%
Devoted Health	$131 - $135	96%
Molina	$121	89%
WellCare	$121 - $125	89%
+ 12 smaller / regional plans	$121 - $169

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96136.

Insurance Before you use insurance

Call your insurance company to confirm Christus Santa Rosa Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96136.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Christus Santa Rosa Medical Center

Compare: Psychological testing evaluation at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.