Psychological testing evaluation
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 96136 (CPT)
- CPT Billing Code: 96136
- Insurance Median: $120
- 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 |
|---|---|---|
| Va | $119 | 88% |
| Medicare (plans) | $119 - $122 | 88% |
| Vc Hope | $119 | 88% |
| Saint Lukes Health Systems | $119 | 88% |
| Humana | $119 | 88% |
| Via Christi Research | $119 | 88% |
| UnitedHealthcare | $122 - $334 | 90% |
| Blue Cross Blue Shield | $122 | 90% |
| Corizon | $149 | 110% |
| Smarthealth | $167 | 123% |
| Medicaid / KanCare | $203 | 149% |
Consumer Guidance & Cost Commentary
For the psychological testing evaluation (CPT 96136) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $119 to $334 depending on the insurance plan. The lowest negotiated amount is $119, which aligns with the facility's median negotiated rate of $120.00. This rate is significantly lower than the UnitedHealthcare high-end range of $122 to $334, suggesting that plan selection heavily influences the final cost. While the facility does not publish a specific cash price for this service, patients with high-deductible plans should consider asking the billing department about self-pay or prompt-pay discounts, as paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the patient's deductible has not been met.
The facility's pricing is benchmarked against the Medicare rate of $135.93, which serves as a federal baseline for the true cost of care. The median negotiated rate of $120.00 is approximately 11% below the Medicare amount, indicating a rate structure that is competitive relative to the government's fixed reimbursement standards. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still advisable to request an itemized bill to verify that no unbundled codes or services not rendered have been charged. If a patient receives a bill exceeding the negotiated rate, they should dispute it in writing with the billing supervisor rather than accepting a summary invoice.