CMS Price Transparency Data

Psychological testing evaluation

Facility: University of Missouri Health Care

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $125
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at University of Missouri Health Care is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.92x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $103 (76%)
Insurance Median: $125 (92%)
Cash: $103 (76% of Medicare)
Ins. Median: $125 (92% 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
Medica With Mu Health $39 - $60 29%
Aetna $47 - $132 35%
Immergun $60 44%
Blue Cross Blue Shield $105 - $125 77%
Coventry Health Plan $111 82%
Healthlink $111 82%
UnitedHealthcare $123 90%
American Health Management $125 92%
Humana $125 92%
Wellcare $125 92%
Provider Partners Health Plan $127 93%
Coventry Health Plan National $128 94%
Mercy $128 94%
Cox Health Network $137 101%
Cigna $145 107%
Multiplan $150 110%
Healthy Blue $165 121%
United Community $165 121%
Home State $171 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Columbia, MO 65212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals