CMS Price Transparency Data

Psychological testing evaluation

Facility: South Pointe Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 0.9× the $136 Medicare rate · typically $51–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $126 This hospital $121 Cash price $171 Hospital's list price $263

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $20 Priciest $121

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

A fair price for a Psychological testing evaluation is about $126 (about 0.9× the $136 Medicare rate). South Pointe Hospital charges insurers about $121, or about $171 in cash — about the fair price. Located in Warrensville Heights, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $111 - $184 82%
Blue Cross Blue Shieldmajor $120 - $210 88%
Aetnamajor $120 - $263 88%
Cignamajor $59 - $137 43%
Humanamajor $120 - $224 88%
AmeriHealth $189 139%
CareSource $184 135%
Devoted Health $120 88%
Molina $180 132%
Oscar Health $79 - $101 58%
Paramount $177 130%
UniCare $125 92%
UPMC Health Plan $120 - $158 88%
+ 16 smaller / regional plans $90 - $237
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals