CMS Price Transparency Data

Psychological testing evaluation

Facility: Northeast Georgia Medical Center, Inc

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$130
about 1.0× the $136 Medicare rate · typically $63–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $130 This hospital $134

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $22 Priciest $134

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

A fair price for a Psychological testing evaluation is about $130 (about 1.0× the $136 Medicare rate). Northeast Georgia Medical Center, Inc charges insurers about $134 — about the fair price. Located in Gainesville, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $131 96%
Aetnamajor $134 99%
Cignamajor $135 99%
Humanamajor $137 101%

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Facility Profile & Credentials

  • Address: 743 Spring Street, Gainesville, GA 30501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals