CMS Price Transparency Data

Psychological testing evaluation

Facility: Cambridge Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $143
Cash Discount Price: $111
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Cambridge Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.05x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $111 (82%)

Insurance Median: $143 (105%)

Cash: $111 (82% of Medicare)

Ins. Median: $143 (105% 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
Ucare Pmap (A B C D E G N O S U R H)	$40	29%
Blue Cross Blue Shield	$62 - $199	46%
Aetna	$88 - $130	65%
Medica Health System	$101 - $159	74%
Medicaid / KanCare	$127	93%
Hennepin Health	$131	96%
Healthpartners	$134	99%
Medicare (plans)	$137	101%
Medica Ubh (D)	$138	102%
Medica	$143	105%
Health Partners	$146 - $323	107%
Scha Msho (D)	$150	110%
Americas Ppo (Araz)(B D N O R S V)	$152	112%
Americas Ppo (Araz) (B D N H O R S)	$166	122%
First Health (A C E G H U B D N O R S)	$166	122%
All Other Contracted Care (A B C D E G H N O R S U)	$198	146%
UnitedHealthcare	$674	496%

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 $111.
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 Cambridge Medical Center 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.