CMS Price Transparency Data

Psychological testing evaluation

Facility: Deaconess Henderson Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $68
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.50x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Deaconess Henderson Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.50x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)
Cash / Self-Pay: $68 (50%)
Insurance Median: $68 (50%)
Cash: $68 (50% of Medicare)
Ins. Median: $68 (50% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $20 - $112 15%
Blue Cross Blue Shield $20 - $112 15%
Humana $20 - $112 15%
Medicaid / KanCare $20 - $39 15%
UnitedHealthcare $20 - $112 15%
Wellcare Ky $20 - $135 15%
Medicare (plans) $21 - $112 15%
Mhs Mco $21 - $112 15%
Molina Healthcare Of Ky $21 - $112 15%
Molina Healthcare Of Ky - Exchange $21 - $112 15%
Mytru Advantage $21 - $112 15%
Umwa $21 - $112 15%
Wellcare Il $21 - $112 15%
Caresource In Marketplace $28 - $168 21%
Wellcare Ky Commercial Exchange $28 - $230 21%
Center Care Narrow $29 21%
Center Care Open Access $29 21%
Alliance Coal $30 - $168 22%
Noncontracted $34 - $180 25%
Caresource In $39 29%
Encircle/Encore Combined $51 38%
Encircle/Encore Prime $51 38%
Ky Racing Health & Welfare Fund $68 50%
Self-Pay $68 50%
First Health Network (Coventry) $71 52%
Healthlink $71 52%
Iu Health Plans $71 52%
Phcs/Multiplan $71 52%
Sagamore $71 52%
Cigna $116 85%
Claimdoc $116 - $269 85%
Hopetrust $116 - $269 85%
Hstechnology $116 - $269 85%
Amish And Mennonite Of Western Ky $126 - $168 93%
Coventry National Network $155 114%
Webster County Detention Center $155 114%
Henderson County Detention Center $175 129%
One Care $247 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals