CMS Price Transparency Data

Psychological testing evaluation

Facility: OHSU Hospital and Clinics

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$138

about 1.0× the $136 Medicare rate · typically $113–$174

modeled estimate · not a bill or quote

What this hospital charges insurers

$160

Above the fair price

about $22 over the fair price · 1.2× Medicare

Medicare pays $136 Fair price $138 This hospital $160 Cash price $105 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $35 Priciest $160

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

A fair price for a Psychological testing evaluation is about $138 (about 1.0× the $136 Medicare rate). OHSU Hospital and Clinics charges insurers about $160, or about $105 in cash — above the fair price. Located in Portland, OR.

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 $138. 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.

6 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	$158 - $161	116%
Blue Cross Blue Shieldmajor	$161	118%
Aetnamajor	$126 - $161	93%
Cignamajor	$147	108%
Humanamajor	$149 - $158	110%
Kaiser Permanentemajor	$120 - $161	88%
Health Net	$120 - $161	88%
Moda Health	$89 - $161	65%
Molina	$161	118%
Providence Health Plan	$137 - $161	101%
+ 7 smaller / regional plans	$31 - $374

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

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 105), 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 OHSU Hospital and Clinics 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 (%)

Enter your details and press estimate to compare.

Other Procedures at OHSU Hospital and Clinics

Compare: Psychological testing evaluation at other OR hospitals

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