CMS Price Transparency Data

Psychological testing by technician

Facility: Sanford Medical Center Fargo

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$246
about 0.5× the $456 Medicare rate · typically $81–$451
modeled estimate · not a bill or quote
What this hospital charges insurers
$411
Above the fair price
about $165 over the fair price · 0.9× Medicare
Medicare pays $456 Fair price $246 This hospital $411

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 2 of 4 other ND hospitals charge more for the same procedure.

Cheapest $399 Priciest $506

Black dot = this hospital, among the 5 ND hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $246 (about 0.5× the $456 Medicare rate). Sanford Medical Center Fargo charges insurers about $411 — above the fair price. Located in Fargo, ND.

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 $246. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $411 90%
Blue Cross Blue Shieldmajor $290 - $704 64%
Aetnamajor $411 90%
HealthPartners $411 90%
Sanford Health Plan $34 - $379 7%
UCare $407 - $418 89%
+ 1 smaller / regional plan $418 - $419
Government programs also on file: Medicare.

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.

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Facility Profile & Credentials

  • Address: 801 Broadway North, Fargo, ND 58122
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals