CMS Price Transparency Data

Psychological testing evaluation

Facility: Halifax Health Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $141
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Halifax Health Medical Center is $141. 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 1.04x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $141 (104%)
Ins. Median: $141 (104% 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
Embs $110 81%
Tricare $118 87%
Humana $126 - $394 93%
Aetna $129 - $414 95%
Americas Choice Provider Network $129 95%
Blue Cross Blue Shield $129 95%
Cigna $129 95%
Coventry $129 - $394 95%
Division Of The Blind $129 95%
Freedom Health $129 95%
Medicare (plans) $129 95%
Optimum Healthcare $129 95%
Sunshine State Health Plan $129 - $414 95%
UnitedHealthcare $129 - $394 95%
Wellcare $129 95%
Molina $132 - $394 97%
Devoted Health $135 99%
Independent Living Systems $136 - $414 100%
Longevity $136 100%
Prime Health Services $136 100%
Clear Spring Health Of Fl $141 104%
Evolutions $194 143%
Employers Health Network $259 191%
Fhcp $261 192%
Centivo $278 205%
Florida Healthcare $281 207%
Claimdoc $291 214%
Hcra $394 290%
Medicaid / KanCare $394 290%
West Volusia $394 290%
Simply Healthcare Plans $414 305%
Caresource Network $434 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals