CMS Price Transparency Data

Psychological testing evaluation

Facility: Adventist Health Bakersfield

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $31
Cash Discount Price: $9
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Adventist Health Bakersfield is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.23x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $9 (7%)

Insurance Median: $31 (23%)

Cash: $9 (7% of Medicare)

Ins. Median: $31 (23% 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 Shield Mcr Adv	$22	16%
Fhcn Pace Mcr Adv - All Plans	$22	16%
Gem Care- All Plans	$22	16%
Healthnet Mcr Adv	$22	16%
Kern Legacy Share Select	$22	16%
Oscar - All Plans	$22	16%
Premier Physician Alliance Profee Only-All Plans	$22	16%
UnitedHealthcare	$22 - $32	16%
County Of Kern - All Plans	$24	18%
Employee Health Plan - All Plans	$24	18%
Kern Legacy Hp Epo - All Other Plans	$24	18%
Aetna	$26	19%
Network Provdrs Llc Mcare -All Payers	$28	21%
Western Growers/Pinnacle- All Plans	$30	22%
Cigna	$31	23%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans	$32	24%
Centivo - All Plans	$33	24%
Bc Medi-Cal	$42	31%
Medi-Cal	$42	31%
Universal Hc Mcal Profee Only	$42	31%
Kern Health Systems Mcal	$57	42%
Blue Shield Epn	$71	52%
Blue Shield Epo/Ppo	$75	55%
Blue Shield Hmo/Pos - All Other Plans	$75	55%
Universal Health Plan Mcare-All Other Plans	$171	126%
Blue Cross Blue Shield	$208	153%

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 $9.
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 Adventist Health Bakersfield 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.