CMS Price Transparency Data

Psychological testing evaluation

Facility: University of Colorado Hospital Authority

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $130
Cash Discount Price: $98
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at University of Colorado Hospital Authority is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.96x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $98 (72%)

Insurance Median: $130 (96%)

Cash: $98 (72% of Medicare)

Ins. Median: $130 (96% 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	$68 - $201	50%
Rocky Mountain Health Plan	$91 - $143	67%
Select Health	$100 - $130	74%
Denver Health Medical Plan	$104 - $148	77%
Simplified Benefits Administration	$108 - $115	79%
Kaiser Public Option	$109	80%
Cigna	$112 - $145	82%
Aetna	$117 - $138	86%
UnitedHealthcare	$126 - $1,635	93%
Cms	$130	96%
Devoted Health	$130	96%
Humana	$130	96%
Kaiser	$130 - $164	96%
Phcs	$154	113%
Multiplan	$168	124%
First Health	$196	144%
Midlands Choice	$196	144%

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 $98.
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 Colorado Hospital Authority 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.