CMS Price Transparency Data

Psychological testing evaluation

Facility: Helen Newberry Joy Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$73
about 0.5× the $136 Medicare rate · typically $25–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$24
Below the fair price — a good deal
about $49 under the fair price · 0.2× Medicare
Medicare pays $136 Fair price $73 This hospital $24 Cash price $17 Hospital's list price $27

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 6 of 8 other MI hospitals charge more for the same procedure.

Cheapest $22 Priciest $28

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 $73 (about 0.5× the $136 Medicare rate). Helen Newberry Joy Hospital charges insurers about $24, or about $17 in cash — below the fair price — a good deal. Located in Newberry, MI.

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 $27 20%
Blue Cross Blue Shieldmajor $24 - $67 18%
Aetnamajor $24 - $26 18%
Cignamajor $26 19%
Humanamajor $24 18%
Priority Health $27 20%
+ 7 smaller / regional plans $10 - $27
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 502 W Harrie St, Newberry, MI 49868
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals