CMS Price Transparency Data

Psychological testing evaluation

Facility: The Miriam Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$154
about 1.1× the $136 Medicare rate · typically $51–$226
modeled estimate · not a bill or quote
What this hospital charges insurers
$248
Above the fair price
about $94 over the fair price · 1.8× Medicare
Medicare pays $136 Fair price $154 This hospital $248

How we calculate the fair BaseRate →

A fair price for a Psychological testing evaluation is about $154 (about 1.1× the $136 Medicare rate). The Miriam Hospital charges insurers about $248 — above the fair price. Located in Providence, RI.

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 $154. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $118 - $276 87%
Aetnamajor $153 113%
Cignamajor $840 618%
Harvard Pilgrim $430 316%
Tufts Health Plan $185 136%
+ 1 smaller / regional plan $273

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: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals