CMS Price Transparency Data
Psychological testing evaluation
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 96136 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96136
- Insurance Median: $220
- Cash Discount Price: $248
- vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $248. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.62x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$248
Average discount available for prompt cash payment at this facility.
Insurance Median
$220
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: $248 (182%)
Insurance Median: $220 (162%)
Cash: $248 (182% of Medicare)
Ins. Median: $220 (162% 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.
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 |
|---|---|---|
| Ucr Prompt Pay Payor [8240] | $17 | 13% |
| Alameda Alliance For Health [2027] | $42 | 31% |
| Alignment Health Plan [2020] | $42 | 31% |
| Alternate Medi-Cal [2001] | $42 | 31% |
| Blue Cross Blue Shield | $42 - $264 | 31% |
| Brand New Day [1089] | $42 | 31% |
| California Department Of Public Health [1237] | $42 | 31% |
| California Health & Wellness Medi-Cal [1122] | $42 | 31% |
| Caremore [2028] | $42 | 31% |
| Cms - County Medical Services [1025] | $42 - $292 | 31% |
| Community Care Ipa [1131] | $42 | 31% |
| Community Eldercare [1027] | $42 | 31% |
| Federal Prison [1031] | $42 | 31% |
| Gold Coast Health Plan [2031] | $42 | 31% |
| Health Plan Of San Joaquin [2032] | $42 | 31% |
| Hemet Community Med Grp - Promisecare [1040] | $42 | 31% |
| Imperial Health Holdings [1132] | $42 | 31% |
| Kern Health Systems [2033] | $42 | 31% |
| La Care Health Plan [2025] | $42 | 31% |
| Medi-Cal [1048] | $42 | 31% |
| Medicaid / KanCare | $42 | 31% |
| Regal Mg 'Heritage Provider Network' [2019] | $42 | 31% |
| San Diego County [1071] | $42 - $225 | 31% |
| Sd Physicians Med Grp [1076] | $42 - $292 | 31% |
| State Of California [1082] | $42 | 31% |
| UnitedHealthcare | $42 - $540 | 31% |
| Unlisted Mcal Hmo Non-Contract [1049] | $42 | 31% |
| Vantage [1092] | $42 - $270 | 31% |
| Ximed [2016] | $42 | 31% |
| Blue Shield Promise [1017] | $48 | 35% |
| Champva [1020] | $51 | 38% |
| Mid County Physicians Med Grp [1054] | $51 | 38% |
| Alternate Molina [1240] | $53 | 39% |
| Molina [1055] | $53 | 39% |
| Aetna | $54 - $197 | 40% |
| Cigna | $54 - $270 | 40% |
| Community Health Group [1022] | $54 | 40% |
| Humana | $54 - $382 | 40% |
| Mc Blue Shield Generic Payor [164016] | $54 | 40% |
| Mc Blue Shield Hmo [164015] | $54 | 40% |
| Mc Brand New Day Generic Payor [164031] | $54 | 40% |
| Mc Brand New Day Hmo [164030] | $54 | 40% |
| Mc Healthnet Generic Payor [164010] | $54 | 40% |
| Mc Healthnet Hmo [164004] | $54 | 40% |
| Mc Hnet Blue&Gold Aco [164017] | $54 | 40% |
| Mc Scan Generic Payor [164034] | $54 | 40% |
| Mc Scan Hmo [164035] | $54 | 40% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $54 | 40% |
| Health Net [1039] | $57 - $1,264 | 42% |
| Inland Empire Health Plan Transplant [1126] | $59 | 43% |
| Inland Empire Health Plan [1121] | $59 | 43% |
| Cal Optima [1016] | $61 | 45% |
| Padres Workers Compensation [2013] | $72 | 53% |
| Padres [2014] | $72 | 53% |
| Multicultural Med Grp [1057] | $163 | 120% |
| Alternate Scan Health [2088] | $180 | 132% |
| Elizabeth Hospice [2018] | $180 | 132% |
| Scan Health [1072] | $180 | 132% |
| Scripps Clinic [1073] | $180 - $360 | 132% |
| Blue Shield [1014] | $191 - $272 | 141% |
| Olympus Managed Healthcare Inc [1102] | $197 | 145% |
| Alternate Healthnet [1007] | $211 - $450 | 155% |
| Usoc - Us Olympic Committee [1123] | $222 | 163% |
| Global Excel [1036] | $225 | 166% |
| Sharp Health Plan [1079] | $225 - $295 | 166% |
| Alternate Blue Shield [2002] | $272 | 200% |
| Blue Shield Transplants [1113] | $272 | 200% |
| Alternate Sheriff Custody [1106] | $292 | 215% |
| Arch Health Partners [2000] | $292 | 215% |
| Axa Assistance [1098] | $292 | 215% |
| Cassidy Med Grp [1019] | $292 | 215% |
| Cmn - Canadian Medical Network [1024] | $292 | 215% |
| Ets - Lifetrac Network [1103] | $292 | 215% |
| Health Net Bh (Mhn) [1038] | $292 | 215% |
| Health Net Bh (Mhn) [2010] | $292 | 215% |
| Interlink Health Services Transplant [1124] | $292 | 215% |
| Interlink Health Transplant [2085] | $292 | 215% |
| Mgm Resorts [1053] | $292 | 215% |
| National Healthcare Solutions Inc [1100] | $292 | 215% |
| Quality Health [1069] | $292 | 215% |
| San Diego County Sheriff Custody [2012] | $292 | 215% |
| Scripps Coastal Med Grp [1074] | $292 | 215% |
| Tri-City [1085] | $292 | 215% |
| Graybill Med Grp [1037] | $295 | 217% |
| Sharp Community Med Grp [1078] | $295 | 217% |
| Sharp Rees Stealy [1080] | $295 | 217% |
| Alternate Health Net Bh [2059] | $297 | 218% |
| Healthnet Transplants [1114] | $297 | 218% |
| Kaiser [1046] | $302 | 222% |
| Embassy Sponsored [1101] | $306 - $315 | 225% |
| Interplan [1045] | $315 | 232% |
| Mercy Physicians Med Grp [1052] | $315 | 232% |
| Pacific Foundation [1063] | $315 | 232% |
| Beech Street [1012] | $338 | 249% |
| First Health [1032] | $338 | 249% |
| Admar [1001] | $346 | 255% |
| Bps - Benefit Plan Services [1015] | $346 | 255% |
| Multiplan [1058] | $346 | 255% |
| Private Healthcare Systems [1067] | $346 - $450 | 255% |
| Carnival Cruises [1018] | $360 | 265% |
| Scripps Health Plan Services [1075] | $360 | 265% |
| Alternate Kaiser Rad Onc [2089] | $450 | 331% |
| Chargers Football Company [1109] | $450 | 331% |
| Palomar Health [1128] | $540 | 397% |
| Easy Choice [1029] | $562 | 413% |
| Sharp Healthcare Transplant [1119] | $608 | 447% |