CMS Price Transparency Data

Psychological testing evaluation

Facility: Sanford Medical Center Bismarck

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 0.8× the $136 Medicare rate · typically $74–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
Above the fair price
about $26 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $107 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 $107 (about 0.8× the $136 Medicare rate). Sanford Medical Center Bismarck charges insurers about $133, or about $173 in cash — above the fair price. Located in Bismarck, 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 $107. 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.

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 $130 - $188 96%
Blue Cross Blue Shieldmajor $57 - $452 42%
Aetnamajor $130 - $185 96%
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 $129 - $152 95%
+ 2 smaller / regional plans $133 - $194
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (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: 300 N 7Th St, Bismarck, ND 58506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals