CMS Price Transparency Data

Psychological testing evaluation

Facility: Medstar Health Physical Therapy

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$88
about 0.6× the $136 Medicare rate · typically $39–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$145
Above the fair price
about $57 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $88 This hospital $145 Cash price $531 Hospital's list price $817

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

A typical price — 1 charge more and 1 charge less, among the 3 DC hospitals compared.

Cheapest $69 Priciest $165

Black dot = this hospital, among the 3 DC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychological testing evaluation is about $88 (about 0.6× the $136 Medicare rate). Medstar Health Physical Therapy charges insurers about $145, or about $531 in cash — above the fair price. Located in Washington, DC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $88. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $142 - $556 104%
Blue Cross Blue Shieldmajor $139 - $523 102%
Aetnamajor $144 - $572 106%
Cignamajor $695 511%
Humanamajor $146 107%
Kaiser Permanentemajor $146 - $1,163 107%
+ 2 smaller / regional plans $146 - $580
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL