CMS Price Transparency Data

Psychological testing evaluation

Facility: Renown South Meadows Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $331
Cash Discount Price: $734
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Renown South Meadows Medical Center is $331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $734. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 2.44x the Medicare baseline. Located in 10101 Double R Blvd, Reno, NV.

Cash / Self-Pay

$734

Average discount available for prompt cash payment at this facility.

Insurance Median

$331

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: $734 (540%)

Insurance Median: $331 (244%)

Cash: $734 (540% of Medicare)

Ins. Median: $331 (244% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 244% of the Medicare baseline (a markup of 144%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$36 - $314	26%
Aetna	$83 - $480	61%
Hometown Health	$116 - $734	85%
Molina Healthcare Of Nevada	$145 - $342	107%
Health Net Federal Services	$189	139%
Naphcare	$204 - $218	150%
Integrated Medical Solutions	$257 - $269	189%
Silversummit Healthplan	$367	270%
Union Trust Funds	$472	347%
Cigna	$589	433%
Health Plan Of Nevada	$618	455%
Prominence Health First	$618	455%
UnitedHealthcare	$753 - $762	554%
Hpn	$1,048	771%

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 $734.
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 Renown South Meadows Medical Center 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.