CMS Price Transparency Data

Psychological testing evaluation

Facility: Madison Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$60
about 0.4× the $136 Medicare rate · typically $25–$244
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $24 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $60 This hospital $36

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $23 Priciest $75

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

A fair price for a Psychological testing evaluation is about $60 (about 0.4× the $136 Medicare rate). Madison Hospital charges insurers about $36 — below the fair price — a good deal. Located in Madison, MN.

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 $17 - $136 13%
Blue Cross Blue Shieldmajor $17 - $39 13%
Aetnamajor $27 20%
Humanamajor $23 17%
HealthPartners $17 - $36 13%
Medica $37 - $44 27%
+ 1 smaller / regional plan $18 - $49
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals