CMS Price Transparency Data
Psychological testing evaluation
Facility: Mainehealth Maine Medical Center
Billing Code: 96136 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$55
about 0.4× the $136 Medicare rate · typically $32–$137
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $55 Cash price $36 Hospital's list price $36
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 | $22 - $125 | 16% |
| Blue Cross Blue Shieldmajor | $23 - $567 | 17% |
| Aetnamajor | $23 - $125 | 17% |
| Cignamajor | $31 - $77 | 23% |
| Humanamajor | $26 - $125 | 19% |
| Harvard Pilgrim | $27 - $80 | 20% |
| WellCare | $26 - $128 | 19% |
| + 1 smaller / regional plan | $32 - $121 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mainehealth Maine Medical Center
Compare: Psychological testing evaluation at other ME hospitals
- Mainehealth Franklin Hospital · Farmington $38
- Lincolnhealth · Damariscotta $43
- Mainehealth Stephens Hospital · Norway $43
- Mainehealth Mid Coast Hospital · Brunswick $47
- Mainehealth Pen Bay Hospital · Rockport $47
- York Hospital · York $49
Insurance negotiated median for the same procedure, sorted lowest first.