CMS Price Transparency Data

Psychological testing evaluation

Facility: SSM Health St Mary's Hospital - Madison

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$131
about 1.0× the $136 Medicare rate · typically $44–$319
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Below the fair price — a good deal
about $18 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $131 This hospital $113

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 2 charge more and 5 charge less, among the 9 WI hospitals compared.

Cheapest $22 Priciest $122

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

A fair price for a Psychological testing evaluation is about $131 (about 1.0× the $136 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $113 — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $129 95%
Molina $97 71%

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Facility Profile & Credentials

  • Address: 700 South Park St, Madison, WI 53715
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals