CMS Price Transparency Data

Psychological testing evaluation

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $184
Cash Discount Price: $171
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Cleveland Clinic Children's Hospital for Rehab is $184. 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 1.35x the Medicare baseline. Located in 2801 Martin Luther King, Jr Drive, Cleveland, OH.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

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: $184 (135%)

Cash: $171 (126% of Medicare)

Ins. Median: $184 (135% 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
Cigna	$59 - $114	43%
Oscar	$79 - $101	58%
Aultcare	$89	65%
Amish Community Aid Plan	$118 - $132	87%
Ohcp	$128	94%
Summacare	$130 - $132	96%
Buckeye	$144 - $174	106%
Healthsmart	$145	107%
United	$151 - $281	111%
Php	$158	116%
Phphi	$158	116%
The Health Plan	$158	116%
Upmc	$158	116%
Aetna	$169 - $263	124%
UnitedHealthcare	$174 - $249	128%
Blue Cross Blue Shield	$179 - $276	132%
Gms	$184	135%
Medical Benefit Corp	$184	135%
Quality Care Partners	$184	135%
Cc Ehp	$186	137%
Consociate Health	$197	145%
Ohio Healthy	$210	154%
Managed Care Services	$237	174%
Multiplan	$237	174%
Three Rivers	$237	174%
Paramount	$270	199%
Molina	$276	203%
Caresource	$281	207%
Amerihealth	$289	213%

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 $171.
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 Cleveland Clinic Children's Hospital for Rehab 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.