CMS Price Transparency Data

Psychological testing evaluation

Facility: USA Health University Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $44
Cash Discount Price: $127
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at USA Health University Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.32x the Medicare baseline. Located in 2451 Fillingim Street, Mobile, AL.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)

Cash / Self-Pay: $127 (93%)

Insurance Median: $44 (32%)

Cash: $127 (93% of Medicare)

Ins. Median: $44 (32% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$43	32%
Aetna	$44	32%
Cigna	$44	32%
Devoted Health	$44	32%
Humana	$44	32%
UnitedHealthcare	$44 - $95	32%
Viva Health	$44	32%
Wellcare	$44	32%
Molina Marketplace	$48	35%
Ambetter / Centene	$53	39%
Mississippi Physicians Care Network (Mpcn)	$59	43%
Central Healthcare Services	$64	47%
Magnolia Health	$95	70%
Truecare	$95	70%
Molina Chip	$104	77%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $127.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96136.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96136.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.