CMS Price Transparency Data

Psychological testing evaluation

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $37
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $37. 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 0.27x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $37 (27%)

Ins. Median: $37 (27% 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
Simply	$18	13%
United Hc	$19 - $40	14%
Aetna	$23 - $41	17%
Blue Cross Blue Shield	$23 - $71	17%
Devoted	$23 - $41	17%
Humana	$23 - $41	17%
Careplus	$24 - $43	18%
Baycare	$25 - $43	18%
Freedom Health	$25 - $45	18%
Optimum	$25 - $45	18%
Evolutions	$27 - $48	20%
Avmed	$32 - $57	24%
Health First	$35 - $61	26%
Multiplan	$37 - $65	27%

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 $X.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.