CMS Price Transparency Data

Psychological testing evaluation

Facility: Falls Community Hospital and Clinic

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 0.8× the $136 Medicare rate · typically $40–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $110 This hospital $116 Cash price $119 Hospital's list price $149

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 $116

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 $110 (about 0.8× the $136 Medicare rate). Falls Community Hospital and Clinic charges insurers about $116, or about $119 in cash — about the fair price. Located in Marlin, 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 $104 - $116 77%
Blue Cross Blue Shieldmajor $103 76%
Aetnamajor $119 88%
Cignamajor $30 22%
Humanamajor $116 85%
Baylor Scott & White $116 85%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 322 Coleman Street, Marlin, TX 76661
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital