CMS Price Transparency Data
Psychological testing evaluation
Facility: SSM Health St Agnes Hospital-Fond Du Lac
Billing Code: 96136 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$111
about 0.8× the $136 Medicare rate · typically $68–$208
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $111 Cash price $50 Hospital's list price $91
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $132 | 97% |
| Molina | $99 | 73% |
| WellCare | $134 | 99% |
| + 1 smaller / regional plan | $254 |
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Other Procedures at SSM Health St Agnes Hospital-Fond Du Lac
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.