CMS Price Transparency Data

Psychological testing evaluation

Facility: Mainehealth Mid Coast Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 0.4× the $136 Medicare rate · typically $34–$141
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
Below the fair price — a good deal
about $14 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $61 This hospital $47

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 1 charge more and 3 charge less, among the 6 ME hospitals compared.

Cheapest $38 Priciest $49

Black dot = this hospital, among the 6 ME hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $61 (about 0.4× the $136 Medicare rate). Mainehealth Mid Coast Hospital charges insurers about $47 — below the fair price — a good deal. Located in Brunswick, ME.

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 - $126 16%
Blue Cross Blue Shieldmajor $22 - $450 16%
Aetnamajor $23 - $126 17%
Cignamajor $77 57%
Humanamajor $26 - $126 19%
Harvard Pilgrim $80 59%
WellCare $26 - $130 19%
+ 1 smaller / regional plan $47 - $121
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Medical Center Drive, Brunswick, ME 04011
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals