CMS Price Transparency Data

Psychological testing evaluation

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$137

about 1.0× the $136 Medicare rate · typically $78–$195

modeled estimate · not a bill or quote

What this hospital charges insurers

$136

About the fair price

about $1 under the fair price · 1.0× Medicare

Medicare pays $136 Fair price $137 This hospital $136 Cash price $109 Hospital's list price $136

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $136

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

A fair price for a Psychological testing evaluation is about $137 (about 1.0× the $136 Medicare rate). Guthrie Cortland Regional Medical Center charges insurers about $136, or about $109 in cash — about the fair price. Located in Cortland, NY.

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	$14 - $136	10%
Blue Cross Blue Shieldmajor	$28 - $172	21%
Aetnamajor	$28 - $136	21%
Humanamajor	$136	100%
AmeriHealth	$26 - $136	19%
CDPHP	$136	100%
Fidelis Care	$25 - $136	18%
Geisinger	$26 - $136	19%
HealthPartners	$26 - $142	19%
MVP Health Care	$31 - $136	23%
UPMC Health Plan	$29 - $136	21%
WellCare	$14 - $167	10%
+ 4 smaller / regional plans	$31 - $172

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 109), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96136.

Insurance Before you use insurance

Call your insurance company to confirm Guthrie Cortland Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96136.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Guthrie Cortland Regional Medical Center

Compare: Psychological testing evaluation at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.