CMS Price Transparency Data

Psychological testing evaluation

Facility: University of Arkansas Medical Sciences

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $128
Cash Discount Price: $263
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at University of Arkansas Medical Sciences is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.94x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $263 (193%)

Insurance Median: $128 (94%)

Cash: $263 (193% of Medicare)

Ins. Median: $128 (94% 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	$110 - $128	81%
Health Advantage	$110	81%
Triwest	$121	89%
Medicare (plans)	$124 - $127	91%
Va	$124	91%
Aetna	$126	93%
Tribute Health	$126	93%
Wellcare By Allwell	$127	93%
Wellcare Non	$127	93%
Humana	$128	94%
Primewell Health Services	$128 - $350	94%
UnitedHealthcare	$128 - $395	94%
Cigna	$129	95%
Essence Healthcare	$129	95%
Devoted Health Plan	$131	96%
Ambetter / Centene	$183	135%
Northwest Health Plan	$211	155%
Qualchoice Novasys	$211	155%
Vantos	$211	155%

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 $263.
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 University of Arkansas Medical Sciences 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.