CMS Price Transparency Data

Psychological testing evaluation

Facility: Unitypoint Health - Meriter

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$103
about 0.8× the $136 Medicare rate · typically $41–$201
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $38 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $103 This hospital $65 Cash price $109 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 4 charge more and 4 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 $103 (about 0.8× the $136 Medicare rate). Unitypoint Health - Meriter charges insurers about $65, or about $109 in cash — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $22 - $125 16%
Blue Cross Blue Shieldmajor $22 - $241 16%
Cignamajor $29 - $71 21%
Humanamajor $23 - $125 17%
HealthPartners $41 - $50 30%
Meridian $23 - $125 17%
Quartz $43 32%
Security Health Plan $31 - $76 23%
+ 5 smaller / regional plans $22 - $216

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Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals