CMS Price Transparency Data

Psychological testing evaluation

Facility: University Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $93
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at University Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.68x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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%)
Insurance Median: $93 (68%)
Ins. Median: $93 (68% 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
Blue Cross Blue Shield $27 - $142 20%
Boyd Group $27 - $50 20%
Bricklayers Local 13 $27 - $50 20%
Caesar'S Entertainment $27 - $50 20%
California Ironwork Field Welfare $27 - $50 20%
Electrical Workers $27 - $50 20%
Laborers Health And Welfare $27 - $50 20%
Operating Engineers $27 - $50 20%
Plumbers & Pipefitters Loc 525 $27 - $50 20%
Sheet Metal Workers $27 - $50 20%
So Ca Pipe Trades H&W $27 - $50 20%
Southwest Carpenters H&W $27 - $50 20%
Teamsters Local 14 $27 - $50 20%
Teamsters Local 631 $27 - $50 20%
Teamsters Local 986 $27 - $50 20%
Ufcw Local 711 Retail Clerks $27 - $50 20%
Cigna $51 - $93 38%
Cirque De Soleil $51 - $93 38%
City Of North Las Vegas $51 - $93 38%
Great West Healthcare $51 - $93 38%
Kaiser $51 - $93 38%
National Security Technologies $51 - $93 38%
Advantra Freedom $142 104%
Aetna $142 - $249 104%
Alignment Health $142 104%
Allwell $142 104%
Healthcare Partners Of Nevada $142 104%
Molina $142 - $211 104%
P3 Health Partners Nevada $142 104%
Scan $142 104%
Selecthealth $142 - $211 104%
Sierra Health And Life $142 - $164 104%
UnitedHealthcare $142 - $343 104%
Va Pc3 (Va Choice) $142 104%
Ambetter / Centene $221 163%
Health Direct Partners $229 168%
Nevada Preferred Professionals $285 210%
Prominence Health Plan $285 210%
Universal Health Network (Uhn) $285 210%
American Postal Workers Health Plan $343 252%
Las Vegas Sand Corps $343 252%
Surest $343 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 W Charleston Blvd, Las Vegas, NV 89102
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals