CMS Price Transparency Data

Psychological testing evaluation

Facility: Indiana University Health Ball Memorial Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$192

about 1.4× the $136 Medicare rate · typically $88–$268

modeled estimate · not a bill or quote

What this hospital charges insurers

$159

Below the fair price — a good deal

about $33 under the fair price · 1.2× Medicare

Medicare pays $136 Fair price $192 This hospital $159 Cash price $381 Hospital's list price $1,795

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $18 Priciest $159

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

A fair price for a Psychological testing evaluation is about $192 (about 1.4× the $136 Medicare rate). Indiana University Health Ball Memorial Hospital charges insurers about $159, or about $381 in cash — below the fair price — a good deal. Located in Muncie, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$159 - $1,015	117%
Blue Cross Blue Shieldmajor	$159 - $1,083	117%
Aetnamajor	$912 - $1,397	671%
Cignamajor	$915 - $1,118	673%
CareSource	$159	117%
Health Net	$1,239 - $1,436	911%
+ 9 smaller / regional plans	$159 - $1,616

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 381), 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 Indiana University Health Ball Memorial Hospital 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 Indiana University Health Ball Memorial Hospital

Compare: Psychological testing evaluation at other IN hospitals

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