Psychological testing evaluation
Facility: Overland Park Reg Med Ctr
Billing Code: 96136 (CPT)
- CPT Billing Code: 96136
- Insurance Median: $43
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.32x 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 |
|---|---|---|
| Amerigroup | $41 | 30% |
| United | $41 - $110 | 30% |
| Healthyblue | $42 | 31% |
| Aetna | $43 | 32% |
| Medicaid / KanCare | $43 | 32% |
| Unicare | $43 | 32% |
| Home State Health Plan | $115 | 85% |
Consumer Guidance & Cost Commentary
For the CPT code 96136, Psychological testing evaluation, the Overland Park Reg Med Ctr in Overland Park, KS, has a median negotiated rate of $43.00 across seven payers, including Amerigroup, United, and Healthyblue. This rate is significantly lower than the Medicare benchmark of $135.93, reflecting the facility's proprietary ownership and bulk contract agreements. While the facility is an Acute Care Hospital with a 4-star rating, patients should note that cash payments are not listed in the data; however, if a patient has a high-deductible plan where the insurance allowed amount exceeds the cash price, paying out-of-pocket might be more cost-effective. It is crucial to verify the specific allowed amount for your plan before scheduling, as in-network rates can vary widely between providers.
To minimize costs, patients should proactively ask the hospital about self-pay or prompt-pay discounts before check-in, as these upfront payment incentives can bypass administrative fees and reduce the final bill. Since over 80% of hospital bills contain errors, requesting a detailed, itemized statement is essential to identify any unbundled codes or services not rendered. If a balance bill arises from out-of-network ancillary services, the No Surprises Act may provide protection against unexpected charges. Consumers are advised to dispute any discrepancies in writing to the billing supervisor rather than accepting summary invoices, ensuring they are only paying for the negotiated or cash rates applicable to their specific situation.