CMS Price Transparency Data

Psychological testing evaluation

Facility: Deaconess Hospital Inc

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $45
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Deaconess Hospital Inc is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.33x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $68 (50%)
Insurance Median: $45 (33%)
Cash: $68 (50% of Medicare)
Ins. Median: $45 (33% 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 $20 - $71 15%
Humana $20 - $125 15%
Medicaid / KanCare $20 - $39 15%
UnitedHealthcare $20 - $125 15%
Blue Cross Blue Shield $22 - $403 16%
Medicare (plans) $22 - $125 16%
Meridiancare (Il) $22 - $125 16%
Molina (Il) Mmai $22 - $125 16%
Molina Il $22 - $125 16%
Mytru Advantage $22 - $125 16%
Triwest Vapc3 $22 - $119 16%
Wellcare (Il) Mmai $22 - $125 16%
Ambetter / Centene $27 - $188 20%
Immergrun $27 20%
Caresource In Marketplace $28 - $188 21%
Patoka Valley Health Care (80/20 Plan) $28 - $252 21%
Patoka Valley Health Care (90/10 Plan) $28 - $235 21%
Center Care Narrow Select $29 21%
Center Care Open Access $29 21%
Alliance Coal $30 - $245 22%
Allied National $31 - $301 23%
Claimdoc $31 - $301 23%
Healthscope $31 - $301 23%
Mhnet $31 23%
Deaconess Onecare $33 - $251 24%
Hopetrust $33 - $301 24%
Hstechnology $33 - $301 24%
Iu Health Network $33 24%
Noncontracted $35 - $201 26%
Meridiancomplete (Il) $36 - $125 26%
Meridianhealth (Il) $36 26%
Naphcare $36 - $207 26%
Youthcare (Meridian Il) $36 26%
Youthcare (Wellcare Il) $36 26%
Caresource In $39 29%
United Behavioral Health $45 33%
Encircle/Encore Combined $51 38%
Encircle/Encore Elite+ $51 - $276 38%
Encircle/Encore Prime $51 38%
Ky Racing Health & Welfare Fund $68 50%
Self-Pay $68 50%
Cigna $71 52%
Claritev (Formerly Phcs Multiplan) $71 52%
First Health $71 52%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $71 - $125 52%
Chamber Care $116 - $301 85%
Parkview Signature Care $132 97%
Healthlink $146 - $165 107%
National Rural Electric $171 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals