CMS Price Transparency Data
Psychological testing evaluation
Facility: Chelsea Hospital
Billing Code: 96136 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96136
- Insurance Median: $17
- Cash Discount Price: $17
- vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Chelsea Hospital is $17. 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 0.13x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$17
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $17 (13%)
Cash: $17 (13% of Medicare)
Ins. Median: $17 (13% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $6 - $10 | 4% |
| Wc Accident Fund | $7 | 5% |
| Wc Advantage | $7 | 5% |
| Wc Aig | $7 | 5% |
| Wc Allied | $7 | 5% |
| Wc Amerisure | $7 | 5% |
| Wc Amtrust | $7 | 5% |
| Wc Asu Risk Mgt | $7 | 5% |
| Wc Berkley Admin | $7 | 5% |
| Wc Broadspire | $7 | 5% |
| Wc Bunch & Associates | $7 | 5% |
| Wc Ccmsi | $7 | 5% |
| Wc Emc Insurance Company | $7 | 5% |
| Wc Esis | $7 | 5% |
| Wc Fcci | $7 | 5% |
| Wc Federated | $7 | 5% |
| Wc Gallagher Bassett | $7 | 5% |
| Wc Genex Care For Ohio | $7 | 5% |
| Wc Guard Insurance Company | $7 | 5% |
| Wc Hartford | $7 | 5% |
| Wc Liberty Mutual | $7 | 5% |
| Wc Meijers | $7 | 5% |
| Wc Michigan | $7 | 5% |
| Wc Mitchell Frankenmuth | $7 | 5% |
| Wc Pma | $7 | 5% |
| Wc Sedgwick | $7 | 5% |
| Wc Sentry | $7 | 5% |
| Wc Travelers | $7 | 5% |
| Wc Tristar | $7 | 5% |
| Wc Walmart | $7 | 5% |
| Wc Zurich | $7 | 5% |
| Bcn Domestic | $10 | 7% |
| Blue Benefit Administrators Of Massachusetts | $10 | 7% |
| Blue Care Network | $10 | 7% |
| Blue Distinction Transplant | $10 | 7% |
| Blue Shield - Ca | $10 | 7% |
| Blue Shield - Id (Regence) | $10 | 7% |
| Blue Shield - Ny Highmark Northeastern | $10 | 7% |
| Blue Shield - Ny Highmark Western | $10 | 7% |
| Blue Shield - Pa (Highmark) | $10 | 7% |
| Blue Shield - Wa (Regence) | $10 | 7% |
| Health Choices | $10 - $17 | 7% |
| Kaiser Domestic | $10 | 7% |
| Aetna | $12 - $14 | 9% |
| Geha | $14 - $17 | 10% |
| Meritain | $14 | 10% |
| Access Health | $17 | 13% |
| Acclaim | $17 | 13% |
| Administrative Concepts | $17 | 13% |
| Allegeant | $17 | 13% |
| Ameriben | $17 | 13% |
| American Family | $17 | 13% |
| American Healthcare Alliance | $17 | 13% |
| American National | $17 | 13% |
| American Republic | $17 | 13% |
| Amerihealth | $17 | 13% |
| Aultcare | $17 | 13% |
| Automated Benefit Services | $17 | 13% |
| Auxiant | $17 | 13% |
| Benefit Administrative Systems,Llc | $17 | 13% |
| Boon Chapman | $17 | 13% |
| Cam Administrative Services | $17 | 13% |
| Christian Brother Services | $17 | 13% |
| Christian Brothers Holy Cross | $17 | 13% |
| Comprehensive Benefits | $17 | 13% |
| Continental Life Insurance | $17 | 13% |
| Custom Benefit Administrators | $17 | 13% |
| Employee Benefit Concepts | $17 | 13% |
| Employee Benefit Management | $17 | 13% |
| Enterprise Group Planning | $17 | 13% |
| Freedom Life Insurance Company | $17 | 13% |
| Group Administrators | $17 | 13% |
| Group Marketing Services | $17 | 13% |
| Guardian | $17 | 13% |
| Health America | $17 | 13% |
| Healthcare Management Admin | $17 | 13% |
| Healthez | $17 | 13% |
| Humana | $17 | 13% |
| Insight | $17 | 13% |
| Intercare | $17 | 13% |
| Jfp Benefit Management | $17 | 13% |
| Jp Farley Corporation | $17 | 13% |
| Key Benefit Administrator | $17 | 13% |
| Liberty Union Life Assurance Co | $17 | 13% |
| Lucent Health | $17 | 13% |
| Luminare Health | $17 | 13% |
| Luminare Health (Detroit) | $17 | 13% |
| Magnacare | $17 | 13% |
| Medben | $17 | 13% |
| Medcost | $17 | 13% |
| Medical Mutual | $17 | 13% |
| Mutual Health Services | $17 | 13% |
| Mutual Of Omaha | $17 | 13% |
| Ncas | $17 | 13% |
| Nippon Life Ins | $17 | 13% |
| Nova | $17 | 13% |
| Painters Union Insurance Fund | $17 | 13% |
| Physicians Mutual | $17 | 13% |
| Plumbers Local 98 Insurance Fund | $17 | 13% |
| Prairie States | $17 | 13% |
| Preferred One | $17 | 13% |
| Primary Physician Care | $17 | 13% |
| Professional Benefit Administrators | $17 | 13% |
| Siho Insurance Services | $17 | 13% |
| Sisco Benefits | $17 | 13% |
| The Loomis Company | $17 | 13% |
| Unicare | $17 | 13% |
| UnitedHealthcare | $17 | 13% |
| Us Health And Life | $17 | 13% |
| Valenz | $17 | 13% |
| Western & Southern Financial Group | $17 | 13% |
| Wps | $17 | 13% |
| Cigna | $18 | 13% |
| Coventry | $18 | 13% |
| First Health | $18 | 13% |
| Hospice Of Michigan | $18 | 13% |
| 1199 National Benefit Fund | $20 | 15% |
| Allied National Global Care | $20 | 15% |
| Asrm - Reliance Standard Life Insurance | $20 | 15% |
| Christian Care Ministry | $20 | 15% |
| Dean Health | $20 | 15% |
| Fallon Health | $20 | 15% |
| Family Life Insurance Company | $20 | 15% |
| Ghc Scw | $20 | 15% |
| Group Pension Administrators | $20 | 15% |
| Hap | $20 - $125 | 15% |
| Health Partners | $20 | 15% |
| International Benefit Administrators | $20 | 15% |
| Lifetime Benefit Solutions | $20 | 15% |
| Manhattan Life | $20 | 15% |
| Medi Share | $20 | 15% |
| Multiplan | $20 | 15% |
| Mvp | $20 | 15% |
| Pai | $20 | 15% |
| Pan-American Life | $20 | 15% |
| Paramount Hmo | $20 | 15% |
| Phcs | $20 | 15% |
| Trinity Health Share | $20 | 15% |
| Tufts Health Plan | $20 | 15% |
| Prime Health Services | $21 | 15% |
| Three Rivers Provider Network | $23 | 17% |
| Cmh Detroit Wayne Integrated Health Network | $26 | 19% |
| Cmh Jackson County/Lifeways | $26 | 19% |
| Cmh Lenawee County | $26 | 19% |
| Cmh Livingston County | $26 | 19% |
| Cmh Misc | $26 | 19% |
| Cmh Monroe County | $26 | 19% |
| Cmh Washtenaw County | $26 | 19% |
| Magellan Behavioral Health | $26 | 19% |
| Priority Health | $40 - $45 | 29% |
| U Of M Health Plan | $83 | 61% |
| Asr Health Benefits | $125 | 92% |
| Caresource | $125 | 92% |
| Varipro | $125 | 92% |