Psychological testing evaluation
Facility: Menorah Medical Center
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 |
|---|---|---|
| United | $41 - $110 | 30% |
| Amerigroup | $41 | 30% |
| Healthyblue | $42 | 31% |
| Aetna | $43 | 32% |
| Unicare | $43 | 32% |
| Medicaid / KanCare | $43 | 32% |
| Home State Health Plan | $115 | 85% |
Consumer Guidance & Cost Commentary
For the psychological testing evaluation (CPT 96136) at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $41 to $115 across seven payers, with a median negotiated amount of $43.00. This facility is rated 3 stars and is owned by a proprietary group. When compared to the national benchmark, the facility's pricing is 30% higher than the Medicare rate of $135.93. While the data does not provide a specific cash or median paid amount for this service, patients should be aware that cash-pay options can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price, particularly for those with high-deductible plans. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill.
Patients should avoid assuming that being in-network guarantees the lowest possible price, as different insurance carriers negotiate different rates, and some facilities may charge significantly more than others. Additionally, it is important to verify your deductible status before using insurance for shoppable tests, as you may be responsible for the full negotiated rate if your plan has not yet covered your expenses. If you receive a bill, request a full itemized statement to identify any errors, double-billing, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected. Under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, so do not feel pressured to pay unexpected charges immediately without first disputing the bill or