CMS Price Transparency Data

Psychological testing evaluation

Facility: Borgess Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $48–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
Above the fair price
about $26 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $101 This hospital $127

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $127

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $101 (about 0.7× the $136 Medicare rate). Borgess Medical Center charges insurers about $127 — above the fair price. Located in Kalamazoo, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $101. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $72 - $127 53%
Blue Cross Blue Shieldmajor $127 93%
Aetnamajor $72 53%
Humanamajor $127 93%
Devoted Health $134 99%
Meridian $127 93%
Molina $72 - $127 53%
Priority Health $72 - $127 53%
+ 2 smaller / regional plans $72 - $191

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: 1521 Gull Road, Kalamazoo, MI 49048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals