CMS Price Transparency Data

Psychological testing evaluation

Facility: Shands Jacksonville

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $153
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Shands Jacksonville is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.13x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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%)
Insurance Median: $153 (113%)
Ins. Median: $153 (113% 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
Aetna $132 - $442 97%
Ameri-Plus Preferred Care $139 102%
Blue Cross Blue Shield $139 102%
Capital Health Plan $139 102%
Humana $139 - $434 102%
Positive Healthcare Partners $142 - $153 104%
Beacon Health Strategies $143 105%
Careplus Health Plan $143 105%
Florida Health Care Plan $143 - $233 105%
UnitedHealthcare $144 106%
Devoted Health Plan $146 - $153 107%
Wellcare Of Florida $163 120%
Molina $168 - $473 124%
Florida Complete Care $174 128%
Wellpath $213 157%
Ambetter / Centene $215 158%
Carelon Health $434 319%
Florida Community Care $454 334%
Amerihealth Caritas Florida $473 348%
Community Care Plan $473 348%
Simply Healthcare $473 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals