CMS Price Transparency Data

Psychological testing evaluation

Facility: Long Island Community Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $64
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Long Island Community Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.47x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $8 (6%)
Insurance Median: $64 (47%)
Cash: $8 (6% of Medicare)
Ins. Median: $64 (47% 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
Local 1199 $61 45%
Aarp $64 47%
Aetna $64 47%
Agewell $64 47%
Beacon Health Options $64 47%
Blue Cross Blue Shield $64 47%
Centerlight $64 47%
Cigna $64 47%
Coventry $64 47%
Elderplan Inc. $64 47%
Emblem Ghi $64 47%
Fidelis $64 47%
Galaxy $64 47%
Humana $64 47%
Integra $64 47%
Longevity Health $64 47%
Magellan $64 47%
Medicare (plans) $64 47%
Multiplan $64 47%
Nexus Nyu $64 47%
Oscar Health Exchange $64 47%
UnitedHealthcare $64 47%
Wellcare $64 47%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals