CMS Price Transparency Data
Psychological testing evaluation
Facility: Gundersen Lutheran Medical Center
Billing Code: 96136 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$111
about 0.8× the $136 Medicare rate · typically $63–$205
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $111 Cash price $12 Hospital's list price $32
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 | $26 - $264 | 19% |
| Blue Cross Blue Shieldmajor | $25 - $264 | 18% |
| Aetnamajor | $14 - $128 | 10% |
| Cignamajor | $26 | 19% |
| Humanamajor | $30 | 22% |
| Amerigroup | $122 - $264 | 90% |
| Dean Health Plan | $13 | 10% |
| HealthPartners | $16 - $122 | 12% |
| Medica | $11 - $25 | 8% |
| Molina | $122 - $264 | 90% |
| Quartz | $14 | 10% |
| UCare | $13 - $134 | 10% |
| + 15 smaller / regional plans | $22 - $264 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gundersen Lutheran Medical Center
Compare: Psychological testing evaluation at other WI hospitals
- Beloit Health System · Beloit $22
- Richland Hospital · Richland Center $24
- Memorial Hospital of Lafayette County · Darlington $25
- Black River Memorial Hospital · Black River Falls $49
- Unitypoint Health - Meriter · Madison $65
- SSM Health St Clare Hospital - Baraboo · Baraboo $113
- SSM Health St Mary's Hospital - Madison · Madison $113
- SSM Health St Mary's Hospital - Janesville · Janesville $117
Insurance negotiated median for the same procedure, sorted lowest first.