CMS Price Transparency Data

Psychological testing evaluation

Facility: Bellevue Hospital Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $189
Cash Discount Price: $148
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Bellevue Hospital Center is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.39x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

$148

Average discount available for prompt cash payment at this facility.

Insurance Median

$189

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: $148 (109%)

Insurance Median: $189 (139%)

Cash: $148 (109% of Medicare)

Ins. Median: $189 (139% 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
Healthfirst	$13 - $481	10%
Aetna	$21 - $257	15%
Affinity	$22 - $481	16%
Blue Cross Blue Shield	$25 - $481	18%
Centerlight	$25 - $153	18%
Elderplan	$25 - $153	18%
Fidelis	$25 - $481	18%
Wellcare	$25 - $160	18%
Centers Plan For Healthy Living	$26 - $159	19%
Hamaspik	$26	19%
Oscar	$31 - $229	23%
Carelon	$49 - $214	36%
Local 1199	$54 - $432	40%
United Behavioral Health	$55 - $235	40%
Vaccn	$153	113%
Vnsny	$153 - $218	113%
United	$159 - $267	117%
Oxford	$160 - $184	118%
Metroplus	$167 - $481	123%
Amidacare	$214	157%
Senior Whole Health	$214	157%
Carelon (Amida Care)	$218	160%
Villagecare Max	$222	163%
Emblem	$267 - $289	196%
Magnacare	$374 - $381	275%
Cigna	$381	280%
Multiplan	$407	299%

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 $148.
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 Bellevue Hospital 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.