CMS Price Transparency Data

Psychological testing evaluation

Facility: Akron General Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $119
  • Cash Discount Price: $171
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Akron General Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.88x the Medicare baseline. Located in 1 Akron General Avenue, Akron, OH.
Cash / Self-Pay
$171

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $171 (126%)
Insurance Median: $119 (88%)
Cash: $171 (126% of Medicare)
Ins. Median: $119 (88% 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
Summacare $15 - $119 11%
UnitedHealthcare $17 - $163 13%
Buckeye $18 - $150 13%
Caresource $19 - $150 14%
United $19 - $201 14%
Amerihealth $20 - $165 15%
Molina $20 - $157 15%
Aetna $22 - $263 16%
Blue Cross Blue Shield $22 - $305 16%
Humana $22 - $119 16%
The Health Plan $22 - $181 16%
Valor $22 - $119 16%
Communicare $23 17%
Pphp $24 - $131 18%
Zing Health $25 - $131 18%
Aultcare $29 - $145 21%
Cigna $32 - $126 24%
Mmo $43 - $166 32%
Oscar $63 - $101 46%
Ohcp $92 - $128 68%
Cc Ehp $105 - $107 77%
Upmc $110 - $158 81%
Amish Community Aid Plan $118 - $132 87%
Omas $118 - $132 87%
Perennial Health $129 95%
Ohio Healthy $142 104%
Phphi $142 - $158 104%
Php $158 116%
United Bh $159 117%
Gms $166 - $184 122%
Consociate Health $178 - $197 131%
Medical Benefit Corp $184 135%
Multiplan $213 - $237 157%
Frontpath $237 174%
Managed Care Services $237 174%
Tertiary Care Network $237 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Akron General Avenue, Akron, OH 44307
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals