CMS Price Transparency Data

Psychological testing evaluation

Facility: Tops Surgical Specialty Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 1.0× the $136 Medicare rate · typically $65–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
Below the fair price — a good deal
about $48 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $136 This hospital $88

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 $88

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 $136 (about 1.0× the $136 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $88 — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $24 - $106 18%
Ambetter (Centene) $32 - $4,848 24%
Health Net $70 51%
Oscar Health $28 21%

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Facility Profile & Credentials

  • Address: 17080 Red Oak Drive, Houston, TX 77090
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals