CMS Price Transparency Data

Psychological testing evaluation

Facility: Essentia Health St Mary's Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 0.8× the $136 Medicare rate · typically $51–$128
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $109 Cash price $68 Hospital's list price $103

How we calculate the fair BaseRate →

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 $75 - $129 55%
Blue Cross Blue Shieldmajor $45 - $295 33%
Aetnamajor $88 65%
Cignamajor $74 54%
HealthPartners $41 - $129 30%
Medica $34 - $129 25%
Sanford Health Plan $44 - $228 32%
Security Health Plan $79 - $129 58%
UCare $68 - $129 50%
+ 15 smaller / regional plans $45 - $129
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (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: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals