CMS Price Transparency Data

Psychological testing evaluation

Facility: Ochsner Medical Center Acute

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $70
Cash Discount Price: $17
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Ochsner Medical Center Acute is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.51x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$17

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $17 (13%)

Insurance Median: $70 (51%)

Cash: $17 (13% of Medicare)

Ins. Median: $70 (51% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Christus Health Exchange Plan	$33	24%
Aetna	$39 - $42	29%
Tricare	$46 - $118	34%
Cigna	$51	38%
First Health Network	$58	43%
Louisiana Workers' Compensation Corporation (Lwcc)	$58	43%
Mississippi Physicians Care Network	$58	43%
Blue Cross Blue Shield	$61 - $118	45%
Claritev D/B/A Multiplan/Phcs/American Life Care	$62	46%
Healthcomp & Personify Health (Formerly Gilsbar)	$62	46%
Zelis	$62	46%
Employers Health Network (Ehn)	$66	49%
Prime Health Services Ppo	$66	49%
Usa Managed Care Network	$66	49%
Behavioral Health Systems	$70	51%
Evolutions Healthcare	$70	51%
Galaxy Health Network Ppo	$70	51%
Galaxy Health Network Wc	$70	51%
Medicaid / KanCare	$95 - $99	70%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$118	87%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$118	87%
Humana	$118	87%
Medicare (plans)	$118	87%
Ochsner Health Plan	$118	87%
UnitedHealthcare	$118 - $257	87%
Pace New Orleans	$130	96%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $17.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96136.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center Acute is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96136.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.