CMS Price Transparency Data

Psychological testing evaluation

Facility: Mainehealth Franklin Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 0.4× the $136 Medicare rate · typically $30–$224
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $16 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $54 This hospital $38

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Lowest price of the 6 ME hospitals we have prices for — a strong deal.

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 $54 (about 0.4× the $136 Medicare rate). Mainehealth Franklin Hospital charges insurers about $38 — below the fair price — a good deal. Located in Farmington, 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✓ 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 $27 - $45 20%
Blue Cross Blue Shieldmajor $27 - $560 20%
Aetnamajor $23 - $46 17%
Cignamajor $77 57%
Harvard Pilgrim $17 - $80 13%
WellCare $27 20%
+ 1 smaller / regional plan $47 - $121
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 111 Franklin Health Commons, Farmington, ME 04938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals