CMS Price Transparency Data

Psychological testing evaluation

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $134
Cash Discount Price: $217
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Memorial Hospital for Cancer and Allied Diseases is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.99x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $217 (160%)

Insurance Median: $134 (99%)

Cash: $217 (160% of Medicare)

Ins. Median: $134 (99% 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
Emblem	$13 - $259	10%
Aetna	$25 - $159	18%
Fidelis	$25 - $485	18%
Healthfirst	$25 - $431	18%
Metroplus	$25 - $133	18%
Cigna	$69 - $155	51%
Oxford	$97 - $159	71%
UnitedHealthcare	$114 - $159	84%
Magnacare	$131 - $184	96%
Urn	$145 - $179	107%
6 Degrees Health	$159 - $184	117%
Empire	$183 - $1,271	135%
Multiplan	$184 - $207	135%

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 $217.
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 Memorial Hospital for Cancer and Allied Diseases 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.