CMS Price Transparency Data

Psychological testing evaluation

Facility: Atrium Health Floyd Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$122

about 0.9× the $136 Medicare rate · typically $76–$127

modeled estimate · not a bill or quote

What this hospital charges insurers

$127

About the fair price

about $5 over the fair price · 0.9× Medicare

Medicare pays $136 Fair price $122 This hospital $127

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 $127

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 $122 (about 0.9× the $136 Medicare rate). Atrium Health Floyd Medical Center charges insurers about $127 — about the fair price. Located in Rome, GA.

What each insurance company pays

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

5 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	$126	93%
Blue Cross Blue Shieldmajor	$126	93%
Aetnamajor	$127	93%
Cignamajor	$126	93%
Humanamajor	$126	93%
Ambetter (Centene)	$188	138%
CareSource	$126 - $188	93%
Clover Health	$129	95%
WellCare	$128	94%
+ 3 smaller / regional plans	$126 - $188

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96136.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Floyd Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96136.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Floyd Medical Center

Compare: Psychological testing evaluation at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.