CMS Price Transparency Data

Psychological testing evaluation

Facility: Sanford Medical Center Fargo

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$117
about 0.9× the $136 Medicare rate · typically $76–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
About the fair price
about $16 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $117 This hospital $133 Cash price $173 Hospital's list price $216

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 2 charge more and 2 charge less, among the 6 ND hospitals compared.

Cheapest $34 Priciest $151

Black dot = this hospital, among the 6 ND hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $117 (about 0.9× the $136 Medicare rate). Sanford Medical Center Fargo charges insurers about $133, or about $173 in cash — about the fair price. Located in Fargo, ND.

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 $133 - $188 98%
Blue Cross Blue Shieldmajor $93 - $226 68%
Aetnamajor $133 - $185 98%
Cignamajor $194 143%
Health Net $194 143%
HealthPartners $89 - $133 65%
Medica $97 - $104 71%
Sanford Health Plan $23 - $122 17%
Security Health Plan $119 88%
UCare $131 - $152 96%
+ 2 smaller / regional plans $134 - $194
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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