CMS Price Transparency Data
Psychological testing evaluation
Facility: Phoebe Sumter Medical Center
Billing Code: 96136 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$130
about 1.0× the $136 Medicare rate · typically $66–$152
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $130 Cash price $68 Hospital's list price $113
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $119 - $181 | 88% |
| Ambetter (Centene) | $204 | 150% |
| Clover Health | $120 | 88% |
| + 2 smaller / regional plans | $122 - $169 |
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Other Procedures at Phoebe Sumter Medical Center
Compare: Psychological testing evaluation at other GA hospitals
- Miller County Hospital · Colquitt $22
- Atrium Health Navicent Peach · Byron $26
- Atrium Health Navicent the Medical Center · Macon $30
- Navicent Health Baldwin · Milledgeville $30
- Atrium Health Navicent Rehabilitation Hopsital · Macon $30
- Grady Memorial Hospital · Atlanta $41
- Shepherd Center, Inc. · Atlanta $49
- Northeast Georgia Medical Center Habersham · Demorest $120
Insurance negotiated median for the same procedure, sorted lowest first.