CMS Price Transparency Data

Psychological testing evaluation

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: 96136 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$149
about 1.1× the $136 Medicare rate · typically $33–$343
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
Below the fair price — a good deal
about $32 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $149 This hospital $117

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $22 Priciest $122

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

A fair price for a Psychological testing evaluation is about $149 (about 1.1× the $136 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $117 — below the fair price — a good deal. Located in Janesville, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $134 99%
Molina $101 74%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals