CMS Price Transparency Data

Psychological testing evaluation

Facility: Henry Ford Allegiance Health

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $36
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Henry Ford Allegiance Health is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.26x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $31 (23%)
Insurance Median: $36 (26%)
Cash: $31 (23% of Medicare)
Ins. Median: $36 (26% 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 $12 - $130 9%
Blue Cross Blue Shield $12 - $130 9%
Hap Caresource $12 - $52 9%
Mclaren $12 9%
Meridian Health Plan Of Mi $12 - $176 9%
Priority Health $12 - $130 9%
Mclaren Health Plan Inc. $15 - $39 11%
Meridian $15 - $27 11%
Molina $16 - $75 12%
Priority $16 - $39 12%
Humana $18 - $74 13%
Hap $19 - $132 14%
Bcn $22 - $130 16%
Cca Health Mi $22 - $39 16%
Health Alliance Plan Of Michigan $22 - $39 16%
Thomas Pace $22 - $130 16%
Vaccn $22 16%
United Behavioral Health, Inc. $23 - $41 17%
Mclaren Health $26 - $130 19%
Jackson County Offiice Of The Sheriff $27 20%
Vitalcore Physicians Group Of Mi $29 - $290 21%
Immergrun Inc $31 23%
University Of Michigan $36 26%
UnitedHealthcare $38 - $130 28%
Cigna $46 34%
Cofinity Group Health $47 35%
Frontpath $47 - $141 35%
Multiplan, Inc. $47 35%
Veterans Evaluation Services $106 78%
Molina Mi Health Link $116 85%
Cca Health Michigan $130 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals