CMS Price Transparency Data

Psychological testing evaluation

Facility: Gibson General Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $36
Cash Discount Price: $68
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Gibson General Hospital is $36. 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 0.26x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $36 (26%)

Cash: $68 (50% of Medicare)

Ins. Median: $36 (26% 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
Aetna	$22 - $71	16%
Blue Cross Blue Shield	$22 - $39	16%
Caresource Just For Me	$22	16%
Medicare (plans)	$22	16%
Meridiancomplete (Il)	$22	16%
Mytruadvantage	$22	16%
UnitedHealthcare	$22 - $45	16%
Va Ccn	$22	16%
Ambetter / Centene	$27	20%
Caresource In Marketplace	$28	21%
Alliance Coal	$31	23%
Claimdoc	$31	23%
Chambercare	$33	24%
Deaconess Onecare	$33 - $276	24%
Hopetrust	$33	24%
Hstechnology	$33	24%
Noncontracted	$35	26%
Medicaid / KanCare	$36	26%
Meridiancare (Il)	$36	26%
Meridianhealth (Il)	$36	26%
Caresource	$39	29%
Mdwise Plans	$39	29%
Mhs	$39	29%
Encircle/Encore Combined	$51	38%
Encircle/Encore Prime	$51	38%
Ky Racing Health & Welfare Fund	$68	50%
Self-Pay	$68	50%
Cigna	$71	52%
First Health	$71	52%
Healthlink Hmo	$71	52%
Healthlink Ppo	$71	52%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$71	52%
Gibson County Sheriff	$165	121%
Integrated Health	$175	129%
Principal Health Care	$175	129%

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 $68.
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 Gibson General Hospital 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.