CMS Price Transparency Data

Psychological testing evaluation

Facility: Prisma Health Tuomey Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$145
about 1.1× the $136 Medicare rate · typically $81–$265
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $55 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $145 This hospital $90 Cash price $155 Hospital's list price $238

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 5 charge more and 3 charge less, among the 9 SC hospitals compared.

Cheapest $31 Priciest $137

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

A fair price for a Psychological testing evaluation is about $145 (about 1.1× the $136 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $90, or about $155 in cash — below the fair price — a good deal. Located in Sumter, SC.

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 $37 - $244 27%
Blue Cross Blue Shieldmajor $20 - $169 15%
Aetnamajor $152 - $188 112%
Cignamajor $183 135%
Humanamajor $65 - $178 48%
+ 15 smaller / regional plans $20 - $244
Government programs also on file: Medicaid, Military & VA.
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: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals