CMS Price Transparency Data

Psychological testing evaluation

Facility: Valley Children's Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$82
about 0.6× the $136 Medicare rate · typically $28–$246
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
Below the fair price — a good deal
about $19 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $82 This hospital $63 Hospital's list price $336

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $29 Priciest $63

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

A fair price for a Psychological testing evaluation is about $82 (about 0.6× the $136 Medicare rate). Valley Children's Hospital charges insurers about $63 — below the fair price — a good deal. Located in Madera, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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 $65 - $239 48%
Blue Cross Blue Shieldmajor $76 - $255 56%
Aetnamajor $225 166%
Kaiser Permanentemajor $61 - $218 45%
Health Net $118 - $220 87%
+ 25 smaller / regional plans $42 - $286
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens