CMS Price Transparency Data

Psychological testing evaluation

Facility: Ochsner Choctaw General

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $224
Cash Discount Price: $433
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Ochsner Choctaw General is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.65x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$433

Average discount available for prompt cash payment at this facility.

Insurance Median

$224

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: $433 (319%)

Insurance Median: $224 (165%)

Cash: $433 (319% of Medicare)

Ins. Median: $224 (165% 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	$18 - $1,783	13%
Humana	$18 - $256	13%
Medicaid / KanCare	$20 - $99	15%
Cigna	$22 - $313	16%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$22 - $256	16%
Medicare (plans)	$22 - $295	16%
UnitedHealthcare	$22 - $313	16%
Shared Health Mississippi	$23 - $269	17%
Prime Health Services Ppo	$25 - $455	18%
Primewell Health Services Commercial Exchange Plan	$35 - $381	26%
Primewell Health Services – Commercial	$35 - $381	26%
Aetna	$44 - $370	32%
Prime Health Services Ppo -Workers Comp	$55 - $454	40%
Cor Vel	$56 - $464	41%
Ambetter / Centene	$259	191%
Select Administrative Services Network	$399	294%
Claritev D/B/A Multiplan/Phcs/American Life Care	$427	314%
Zelis	$427 - $484	314%

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 $433.
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 Ochsner Choctaw General 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.