CMS Price Transparency Data

Psychological testing evaluation

Facility: Boston Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 0.8× the $136 Medicare rate · typically $43–$205
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $68 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $110 This hospital $42 Cash price $143 Hospital's list price $317

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $26 Priciest $46

Black dot = this hospital, among the 9 MA 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 $110 (about 0.8× the $136 Medicare rate). Boston Medical Center charges insurers about $42, or about $143 in cash — below the fair price — a good deal. Located in Boston, MA.

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✓ Cigna HumanaKaiser 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 $42 31%
Blue Cross Blue Shieldmajor $35 - $238 26%
Aetnamajor $155 114%
Cignamajor $58 - $269 43%
Harvard Pilgrim $42 31%
Tufts Health Plan $49 - $431 36%
UniCare $238 175%
+ 9 smaller / regional plans $42 - $513
Government programs also on file: Medicaid, Military & VA.
Excludes 3 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

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Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals