Psychological testing evaluation
Facility: Ascension Via Christi Rehabilitation Hospital 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 |
|---|---|---|
| Aetna | $72 | 53% |
| Va | $119 | 88% |
| Vc Hope | $119 | 88% |
| Medicare (plans) | $119 - $122 | 88% |
| Humana | $119 | 88% |
| UnitedHealthcare | $122 - $334 | 90% |
| Blue Cross Blue Shield | $122 | 90% |
| Smarthealth | $167 | 123% |
| Medicaid / KanCare | $203 | 149% |
Consumer Guidance & Cost Commentary
For the CPT code 96136, "Psychological testing evaluation," at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the negotiated rates range from $72 to $334 depending on your specific insurance plan. While the lowest negotiated amount is $72 from Aetna, the highest is $334 from UnitedHealthcare. These rates are compared against the Medicare benchmark of $135.93, which serves as a federal baseline for the true cost of this service. It is important to note that commercial negotiated rates often exceed the Medicare amount due to administrative costs and contract structures, meaning that for some patients, paying cash directly could result in a lower out-of-pocket cost than using insurance, especially if their plan has a high deductible or if the negotiated rate for their specific carrier is higher than the cash price.
Patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing the standard insurance billing cycle. Since over 80% of hospital bills contain errors, it is advisable to request a detailed, itemized statement rather than accepting a summary bill, which may hide unbundled charges or services not rendered. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should verify their plan's network status and deductible status beforehand to avoid unexpected costs. Always confirm the exact allowed amount with the hospital prior to your visit to ensure you are aware of the financial obligations.