CMS Price Transparency Data

Psychological testing evaluation

Facility: Wyandotte Hospital and Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $32
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Wyandotte Hospital and Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.24x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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%)
Insurance Median: $32 (24%)
Ins. Median: $32 (24% 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 $13 - $139 10%
Hap $13 - $126 10%
Mclaren $13 10%
Meridian Health Plan Of Mi $13 - $52 10%
Priority Health $13 - $126 10%
Amerihealth Michigan $15 - $124 11%
Hap Caresource $15 - $126 11%
Mclaren Health Plan Inc. $15 - $41 11%
Meridian $15 - $41 11%
Molina $16 - $75 12%
Priority $16 - $41 12%
Cofinity Group Health $19 - $37 14%
Humana $19 - $74 14%
Mclaren Health $22 - $126 16%
Pace Se Mi $22 - $39 16%
Bcn $23 - $126 17%
Blue Cross Blue Shield $23 - $126 17%
Cca Health Mi $23 - $41 17%
Health Alliance Plan Of Michigan $23 - $41 17%
Mount Carmel Health Plan $23 - $126 17%
United Behavioral Health, Inc. $23 - $41 17%
UnitedHealthcare $23 - $126 17%
Wellcare Ma $23 17%
Cofinity $26 - $49 19%
Vitalcore Physicians Group Of Mi $30 - $290 22%
Cigna $35 26%
Multiplan, Inc. $35 26%
University Of Michigan $42 31%
Beacon Health $43 32%
Pace Of Se Mi $120 88%
Cca Health Michigan $126 93%
Erickson $126 93%
Molina Mi Health Link $126 93%
Wellcare $128 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals