CMS Price Transparency Data

Psychological testing by technician

Facility: Mainehealth Pen Bay Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$127
about 0.3× the $456 Medicare rate · typically $44–$376
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $61 under the fair price · 0.1× Medicare
Medicare pays $456 Fair price $127 This hospital $66

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 5 ME hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $66

Black dot = this hospital, among the 5 ME hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $127 (about 0.3× the $456 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $66 — below the fair price — a good deal. Located in Rockport, ME.

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 $39 - $386 9%
Blue Cross Blue Shieldmajor $34 - $1,875 7%
Aetnamajor $32 - $394 7%
Humanamajor $39 - $386 9%
Harvard Pilgrim $66 14%
WellCare $35 - $398 8%
+ 1 smaller / regional plan $70 - $79
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: 6 Glen Cove Drive, Rockport, ME 04856
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals