CMS Price Transparency Data

Psychological testing evaluation

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.6× the $136 Medicare rate · typically $39–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
Above the fair price
about $33 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $87 This hospital $120 Cash price $293 Hospital's list price $390

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 $120

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 $87 (about 0.6× the $136 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $120, or about $293 in cash — above the fair price. Located in Cleveland, OH.

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 $87. 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.

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 $120 - $274 88%
Blue Cross Blue Shieldmajor $120 - $254 88%
Aetnamajor $120 - $310 88%
Cignamajor $120 - $252 88%
Humanamajor $120 88%
Ambetter (Centene) $218 160%
CareSource $211 155%
Devoted Health $120 88%
Health Net $332 244%
Medical Mutual $120 - $309 88%
Molina $120 88%
Paramount $123 90%
WellCare $120 88%
+ 21 smaller / regional plans $120 - $351
Excludes 5 rental-network / third-party entries (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: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens