Psychological testing evaluation
Facility: Labette Health
Billing Code: 96136 (CPT)
- CPT Billing Code: 96136
- Insurance Median: $119
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.88x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $11 | 8% |
| Medicaid / KanCare | $42 - $119 | 31% |
| Healthy Blue | $42 | 31% |
| Blue Cross Blue Shield | $119 | 88% |
| Humana | $119 | 88% |
| UnitedHealthcare | $119 | 88% |
| Wellcare | $119 | 88% |
| Kansas Superior Select | $123 | 90% |
| Ambetter / Centene | $137 | 101% |
| Montgomery County | $218 | 160% |
Consumer Guidance & Cost Commentary
For the CPT code 96136, Psychological testing evaluation, Labette Health in Parsons, KS, has a median negotiated rate of $119.00 across ten payers. This rate is significantly lower than the highest commercial payer rates observed in the region, such as Montgomery County at $218.00, and aligns closely with the state average for this service. While the facility is a government-owned acute care hospital, patients should be aware that commercial insurance contracts often include administrative overheads that can inflate rates compared to direct cash payments. If your insurance plan has a high deductible, you may find that paying the cash price directly is more cost-effective than relying on the negotiated rate, which includes the cost of claims processing and utilization reviews.
To ensure you are receiving the most accurate pricing, it is important to request an itemized bill before finalizing payment, as summary bills can obscure individual charges or unbundled services. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total amount owed by 20% to 50% if paid upfront. Since this service is billed under a CPT code, verify that the facility is in-network for your specific plan to avoid potential balance billing, though the No Surprises Act protects patients from surprise bills for out-of-network providers at in-network facilities. Always confirm your deductible status before scheduling, as the negotiated rate may not apply until that threshold is met.