Psychological testing evaluation
Facility: Salina Regional Health Center
Billing Code: 96136 (CPT)
- CPT Billing Code: 96136
- Insurance Median: $117
- Cash Discount Price: $91
- vs. Medicare Baseline: 0.86x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $135.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $40 - $42 | 29% |
| Preferred Phsic | $78 | 57% |
| Preferred Healthcare - All Other Plans | $105 | 77% |
| Providers Care (Wppa)-All Plans | $117 | 86% |
| Aetna | $117 | 86% |
| Multiplan (Mpi)-All Plans | $117 | 86% |
| Cigna | $117 | 86% |
Consumer Guidance & Cost Commentary
For the CPT code 96136, Psychological testing evaluation, Salina Regional Health Center in Salina, KS, has a cash median price of $91.00, which is lower than the facility's negotiated rates of $117.00. While the facility is an acute care hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates often exceed cash prices due to administrative costs and contract dynamics. In this specific case, the cash price of $91.00 is notably lower than the median paid amount of $105.00 and the negotiated rate of $117.00. If you have a high-deductible plan or have not yet met your deductible, paying the cash price directly could result in significant savings compared to the amount your insurance would allow.
It is important to understand that commercial insurance rates are not always the lowest available option. The data shows that while several payers like Blue Cross Blue Shield and Aetna have negotiated rates starting at $40 and $117 respectively, the cash price remains the most transparent baseline for self-pay patients. To ensure you are not overcharged, always ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these can reduce the final cost. Additionally, if you receive a bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which prevents balance billing for emergency and non-emergency services, so do not sign away your rights to dispute unexpected charges without first reviewing your itemized statement.