CMS Price Transparency Data

Psychological testing evaluation

Facility: Wabash Valley Alliance, Inc. / River Bend Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $50
Cash Discount Price: $50
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Wabash Valley Alliance, Inc. / River Bend Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.37x the Medicare baseline. Located in 2900 N River Rd, West Lafayette, IN.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $50 (37%)

Insurance Median: $50 (37%)

Cash: $50 (37% of Medicare)

Ins. Median: $50 (37% 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	$50	37%
Blue Cross Blue Shield	$50	37%
Caresource Mcaid-All Plans	$50	37%
Cigna	$50	37%
Humana	$50	37%
Medicaid / KanCare	$50	37%
Medicare (plans)	$50	37%
Mhs Cenpatico Mcaid-All Plans	$50	37%
Mhs/Mdwise Mcaid-All Plans	$50	37%
Self Pay	$50	37%
Steward C Miller	$50	37%
Tricare	$50	37%
UnitedHealthcare	$50	37%
Va Fee-04 Ffb	$50	37%

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 $50.
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 Wabash Valley Alliance, Inc. / River Bend 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.