CMS Price Transparency Data
Psychological testing evaluation
Facility: Overlook Medical Center
Billing Code: 96136 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96136
- Insurance Median: $146
- Cash Discount Price: $359
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Overlook Medical Center is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.07x the Medicare baseline. Located in 99 Beauvoir Avenue, Summit, NJ.
Cash / Self-Pay
$359
Average discount available for prompt cash payment at this facility.
Insurance Median
$146
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: $359 (264%)
Insurance Median: $146 (107%)
Cash: $359 (264% of Medicare)
Ins. Median: $146 (107% 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 |
|---|---|---|
| Horizon Nj Health [5021] | $26 | 19% |
| Wtc Health Program [5273] | $38 | 28% |
| Untd Hlth Community Plan Behavioral Health [5293] | $46 | 34% |
| Untd Hlth Community Plan [5034] | $46 | 34% |
| Medicaid / KanCare | $48 - $99 | 35% |
| Blue Cross Blue Shield | $69 - $207 | 51% |
| Aetna | $93 - $146 | 68% |
| Apwu Healthcare [5053] | $109 | 80% |
| Geha [5119] | $109 | 80% |
| Golden Rule Insurance [5124] | $109 | 80% |
| Harvard Pilgrim Healthcare [5133] | $109 | 80% |
| Ntca [5208] | $109 | 80% |
| Oxford Behavioral Health [5291] | $109 | 80% |
| Oxford [5024] | $109 | 80% |
| Surest [5437] | $109 | 80% |
| UnitedHealthcare | $109 | 80% |
| Claim Watcher/Homestead [5488] | $122 | 90% |
| First Managed Care Option [5109] | $122 - $207 | 90% |
| Inservco Workers Compensation [5158] | $122 - $207 | 90% |
| Magnacare [5177] | $122 - $195 | 90% |
| Medlogix/Consumer Health Network (Chn) [5415] | $122 - $207 | 90% |
| Occunet [5490] | $122 | 90% |
| The Fairly Group [5528] | $122 | 90% |
| Centivo [5405] | $134 - $195 | 99% |
| Continental Assurance - PHCS [5092] | $134 | 99% |
| Continental Casualty PHCS [5094] | $134 | 99% |
| Coresource [5014] | $134 | 99% |
| Ghi Emblem Health [5122] | $134 | 99% |
| Humana | $134 | 99% |
| Ila Local 1478-2 Welfare Fund [5448] | $134 | 99% |
| Kaiser Permanente [5162] | $134 | 99% |
| Oscar [5213] | $134 | 99% |
| Private Healthcare Systems PPO (PHCS) [5227] | $134 | 99% |
| Qualcare [5026] | $134 - $137 | 99% |
| Wellpath Correctional [5485] | $134 | 99% |
| Church Mutual Wc Insurance Company [5524] | $138 | 102% |
| Hanover Workers Comp [5130] | $138 | 102% |
| Hartford Worker's Compensation [5132] | $138 | 102% |
| Hcs Network Solutions [5148] | $138 | 102% |
| Nj Manufacturers Workers Comp [5204] | $138 | 102% |
| Selective Ins Workers Comp [5237] | $138 | 102% |
| Strategic Comp [5518] | $138 | 102% |
| Zurich Workers Comp [5275] | $138 | 102% |
| 1199 Seiu Benefit and Pension [5037] | $146 | 107% |
| Allied Benefit Systems [5046] | $146 - $195 | 107% |
| Allstate [5047] | $146 | 107% |
| Banner Health Network [5510] | $146 | 107% |
| Boon-Chapman [5441] | $146 | 107% |
| Christian Brothers Services [5439] | $146 | 107% |
| Continental Assurance [5091] | $146 | 107% |
| Esurance No Fault [5105] | $146 | 107% |
| Evolution Healthcare [5438] | $146 - $195 | 107% |
| Geico No Fault [5120] | $146 | 107% |
| Hanover No Fault [5129] | $146 | 107% |
| Healthez [5445] | $146 - $195 | 107% |
| Healthsmart Benefit Solutions [5446] | $146 | 107% |
| Liberty Mutual No Fault [5173] | $146 | 107% |
| Luminare Health Benefits [5483] | $146 | 107% |
| Marpai Health [5449] | $146 | 107% |
| Meritain Health [5185] | $146 | 107% |
| Nippon Benefit Life [5201] | $146 | 107% |
| Nj Manufacturers No Fault [5203] | $146 | 107% |
| Occunet Secondary [5517] | $146 | 107% |
| Praxis Workers Comp [5515] | $146 - $183 | 107% |
| Progressive No Fault [5229] | $146 | 107% |
| Starmark [5240] | $146 | 107% |
| State Farm No Fault [5241] | $146 | 107% |
| The Fairly Group Secondary [5531] | $146 | 107% |
| Travelers No Fault [5249] | $146 | 107% |
| Usaa No Fault [5260] | $146 | 107% |
| Webtpa [5447] | $146 - $195 | 107% |
| Zurich No Fault [5274] | $146 | 107% |
| First Health Network [5108] | $159 | 117% |
| Gallagher Bassett Workers Comp [5117] | $159 | 117% |
| Liberty Mutual Worker's Comp [5174] | $159 | 117% |
| Pma Workers Comp [5224] | $159 | 117% |
| Sedgwick [5235] | $159 | 117% |
| Sentry Worker's Comp [5489] | $159 | 117% |
| Travelers Workers Compensation [5250] | $159 | 117% |
| Independence Bc [5479] | $169 | 124% |
| Prime Healthcare [5435] | $169 | 124% |
| Multiplan [5194] | $171 | 126% |
| One Call Workers Comp [5418] | $171 | 126% |
| Aig Workers Compensation [5045] | $183 | 135% |
| Amtrust North America Inc [5521] | $183 | 135% |
| Berkshire Hathaway Guard Insurance Company [5529] | $183 | 135% |
| Broadspire Workers Comp [5357] | $183 | 135% |
| Ccmsi Wc [5525] | $183 | 135% |
| Nationwide Mutual Insurance Company [5526] | $183 | 135% |
| Qual-Lynx Wc Preferred [5230] | $183 | 135% |
| Qual-Lynx Wc Standard [5028] | $183 | 135% |
| Sage Adjusting, LLC [5527] | $183 | 135% |
| Cigna | $195 | 143% |
| High Point No Fault [5146] | $195 | 143% |
| Iaa - Insurance Administrators of America [5482] | $195 | 143% |
| Medlogix/Consumer Health Network Pip (Chn) [5414] | $195 | 143% |
| Mvp Health Care [5197] | $195 | 143% |
| Nalc [5198] | $195 | 143% |
| Plymouth Rock Assurance No Fault [5222] | $195 | 143% |
| Seafarers Health and Benefits Plan [5343] | $195 | 143% |
| Tufts Health Plan [5344] | $195 | 143% |
| Chubb Worker's Compensation [5075] | $207 | 152% |
| Claims Resolution Corporation Inc [5520] | $207 | 152% |
| Corvel Corporation [5522] | $207 | 152% |
| Esis [5519] | $207 | 152% |
| Medrisk/Spnet Worker's Comp [5452] | $207 | 152% |
| Bundled Cases/Episodic Payment [5492] | $244 | 180% |
| Carba R Generic [5530] | $244 | 180% |
| Carisk Worker's Comp [5501] | $244 | 180% |
| Kessler Foundation [5532] | $244 | 180% |
| Streamline Worker's Comp [5540] | $244 | 180% |
| Amerihealth Administrators Supplemental [5512] | $310 - $749 | 228% |
| Amerihealth Medigap [5049] | $310 - $749 | 228% |
| Amerihealth [5008] | $310 | 228% |