CMS Price Transparency Data

Psychological testing evaluation

Facility: Artesia General Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $68
Cash Discount Price: $46
vs. Medicare Baseline: 0.50x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Artesia General Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.50x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$46

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $46 (34%)

Insurance Median: $68 (50%)

Cash: $46 (34% of Medicare)

Ins. Median: $68 (50% 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
Blue Cross Blue Shield	$20 - $125	15%
Molina Healthcare Of New Mexico	$21 - $210	15%
Presbyterian Health Plan	$21 - $125	15%
UnitedHealthcare	$21 - $125	15%
Zelis	$21 - $150	15%
First Health	$29 - $68	21%
Geha	$53 - $125	39%
Omni Networks	$53	39%
Three Rivers Provider Network	$57	42%
Cigna	$65 - $68	48%
Galaxy Health	$68	50%
One Health Plan	$68	50%
Multiplan	$69	51%
United Payors & United Providers	$71	52%
Providence Risk & Insurance Services	$72 - $250	53%
Triwest	$122	90%
Humana	$125 - $137	92%
Vistacare Hospice	$125	92%
New Mexico Health Connections	$212	156%

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 $46.
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 Artesia General Hospital 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.