CMS Price Transparency Data

Psychological testing evaluation

Facility: UPMC Passavant

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.7× the $136 Medicare rate · typically $39–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $11 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $95 This hospital $106 Cash price $184 Hospital's list price $306

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $20 Priciest $106

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

A fair price for a Psychological testing evaluation is about $95 (about 0.7× the $136 Medicare rate). UPMC Passavant charges insurers about $106, or about $184 in cash — about the fair price. Located in Pittsburgh, PA.

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 $23 - $135 17%
Blue Cross Blue Shieldmajor $28 - $199 21%
Aetnamajor $129 - $135 95%
Cignamajor $104 - $122 77%
Humanamajor $260 - $285 191%
AmeriHealth $31 - $133 23%
UPMC Health Plan $22 - $129 16%
+ 4 smaller / regional plans $34 - $285
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9100 Babcock Boulevard, Pittsburgh, PA 15237
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals