CMS Price Transparency Data

Psychological testing evaluation

Facility: Atrium Health Navicent Peach

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$78
about 0.6× the $136 Medicare rate · typically $25–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Below the fair price — a good deal
about $52 under the fair price · 0.2× Medicare
Medicare pays $136 Fair price $78 This hospital $26

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 7 of 8 other GA hospitals charge more for the same procedure.

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 $78 (about 0.6× the $136 Medicare rate). Atrium Health Navicent Peach charges insurers about $26 — below the fair price — a good deal. Located in Byron, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $26 19%
Blue Cross Blue Shieldmajor $26 - $30 19%
Aetnamajor $26 19%
Humanamajor $26 19%
Ambetter (Centene) $29 21%
Clover Health $26 19%
+ 5 smaller / regional plans $26 - $27

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Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals