CMS Price Transparency Data

Psychological testing evaluation

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $122
Cash Discount Price: $141
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at University of Iowa Health Care Medical Center Down is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.90x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$122

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: $141 (104%)

Insurance Median: $122 (90%)

Cash: $141 (104% of Medicare)

Ins. Median: $122 (90% 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
Immergrun	$18 - $68	13%
Aetna	$22 - $164	16%
Blue Cross Blue Shield	$22 - $131	16%
Healthpartners	$22 - $232	16%
Iowa Total Care	$22 - $126	16%
Medical Associates	$22 - $183	16%
Molina Healthcare	$22 - $109	16%
UnitedHealthcare	$22 - $283	16%
Wellpoint (Amerigroup)	$23 - $127	17%
Quad City Community Healthcare	$36 - $205	26%
Midlands Choice	$38 - $177	28%
Oscar Health	$45 - $172	33%
Great River Health Systems	$50 - $191	37%
Aplos Health Plan	$58 - $218	43%
Sedgwick	$58 - $218	43%
Global Excel	$61 - $232	45%
Sanford Health Plan	$61 - $232	45%
Sisco	$63 - $240	46%
Employee Benefit Systems	$65 - $246	48%
Healthsmart	$65 - $246	48%
Hfn	$66 - $251	49%
Multiplan	$66 - $251	49%

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 $141.
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 Iowa Health Care Medical Center Down 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.