CMS Price Transparency Data

Psychological testing evaluation

Facility: Uh Cleveland Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $218
  • Cash Discount Price: $293
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Uh Cleveland Medical Center is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.60x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$293

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $293 (216%)
Insurance Median: $218 (160%)
Cash: $293 (216% of Medicare)
Ins. Median: $218 (160% 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
Medical Mutual Of Ohio $110 - $244 81%
Aetna $120 - $307 88%
Blue Cross Blue Shield $120 - $232 88%
Cigna $120 - $252 88%
Devoted Health $120 88%
Humana $120 88%
Molina $120 88%
Primetime Health Plan $120 88%
Summacare $120 - $265 88%
The Health Plan $120 - $254 88%
UnitedHealthcare $120 - $269 88%
Wellcare By Allwell $120 88%
Paramount $123 90%
Perennial Advantage Of Ohio $125 92%
Valor Health Plans $125 92%
University Health Employee Plan (Contigo) $156 115%
Amish Aid Community Plan $195 143%
Amish Church Fund And Workers Aid Plan $195 143%
Buckeye Plain Ministries $195 143%
Christian Healthcare Ministries $195 143%
Immergrun $195 143%
Sunrise Plain Communities $195 143%
Jp Farley $212 156%
Ambetter / Centene $215 158%
Caresource $215 158%
Clarity $218 160%
Enterprise Group Planning $218 160%
Health Ohio Network $226 166%
Aultcare $239 176%
Healthsmart $254 187%
Ohio Health Choice $254 - $351 187%
Medical Mutual Traditional/Health Ohio $273 201%
Beech Street $312 - $351 230%
Ohio Preferred Network $312 - $351 230%
First Health $324 238%
Century Health Network $332 244%
Private Healthcare System $335 246%
Configurenet $351 258%
Fortified Provider Network $351 258%
Multiplan $351 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals