CMS Price Transparency Data

Psychological testing evaluation

Facility: Christus St Michael Health System

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $128
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Christus St Michael Health System is $128. 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 0.94x the Medicare baseline. Located in 2600 St Michael Dr, Texarkana, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $128 (94%)
Ins. Median: $128 (94% 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
Blue Cross Blue Shield $99 - $128 73%
Aetna $127 93%
Christus Health $127 - $177 93%
Coventry $127 93%
Humana $127 93%
Molina $127 93%
Texas Healthspring $127 93%
Triwest $127 93%
UnitedHealthcare $127 - $270 93%
Windsor $127 93%
Provider Partners Health Plan $130 96%
Texas Independence Health Plan $130 96%
Shared Health Insurance Company $133 98%
Tribute Health Plan $133 98%
Us Imaging Network $135 99%
Amerigroup $137 101%
Imperial Health Plan $139 102%
Medicare (plans) $139 102%
Procare Advantage $139 102%
State Of Oklahoma $213 157%
Naphcare Inc. $253 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 St Michael Dr, Texarkana, TX 75503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals