CMS Price Transparency Data

Psychological testing evaluation

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $19
Cash Discount Price: $49
vs. Medicare Baseline: 0.14x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Memorial Mission Hospital and Asheville Surgery Ce is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.14x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $49 (36%)

Insurance Median: $19 (14%)

Cash: $49 (36% of Medicare)

Ins. Median: $19 (14% 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
Amerihealth	$9	7%
Blue Cross Blue Shield	$9 - $19	7%
Partners Health Management	$9	7%
United	$9 - $29	7%
Vaya Health	$9	7%
Wellcare	$9	7%
Apex Health	$10	7%
Oscar	$17	13%
Aetna	$18 - $35	13%
Cigna	$18 - $24	13%
Medcost	$21 - $42	15%
Caresource	$22	16%
Amerihealth Caritas	$23	17%
Magellan	$29	21%
Magellan Behavioral Health	$29	21%
Multiplan	$39	29%
Avalon Administrative Services	$42	31%
Prime Health	$43 - $44	32%

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 $49.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.