CMS Price Transparency Data

Psychological testing evaluation

Facility: Carle Bromenn Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$127

about 0.9× the $136 Medicare rate · typically $77–$140

modeled estimate · not a bill or quote

What this hospital charges insurers

$143

About the fair price

about $16 over the fair price · 1.1× Medicare

Medicare pays $136 Fair price $127 This hospital $143 Cash price $460 Hospital's list price $460

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $143

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychological testing evaluation is about $127 (about 0.9× the $136 Medicare rate). Carle Bromenn Medical Center charges insurers about $143, or about $460 in cash — about the fair price. Located in Normal, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$143 - $284	105%
Blue Cross Blue Shieldmajor	$143 - $285	105%
Aetnamajor	$24 - $304	18%
Cignamajor	$285	210%
Humanamajor	$23 - $143	17%
HealthLink	$299	220%
Meridian	$46 - $143	34%
Molina	$92 - $143	68%
WellCare	$143	105%
+ 1 smaller / regional plan	$276

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 460), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96136.

Insurance Before you use insurance

Call your insurance company to confirm Carle Bromenn Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96136.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carle Bromenn Medical Center

Compare: Psychological testing evaluation at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.