CMS Price Transparency Data

Psychological testing evaluation

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $143
Cash Discount Price: $300
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Excela Health Westmoreland Regional Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.05x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $300 (221%)

Insurance Median: $143 (105%)

Cash: $300 (221% of Medicare)

Ins. Median: $143 (105% 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
Geisinger	$24 - $143	18%
Health Partners Plans	$24	18%
Highmark Wholecare	$25 - $148	18%
Upmc	$25 - $147	18%
Amerihealth Caritas	$26 - $143	19%
Pa Health And Wellness	$26 - $145	19%
Upmc Health Plan	$38 - $158	28%
Highmark Advantage Community Blue	$126	93%
Senior Life	$136	100%
Aetna	$140 - $313	103%
Health Partners Plan	$140	103%
Martin'S Point	$140	103%
Peak Health	$140 - $319	103%
Humana	$141	104%
United	$141	104%
Cigna	$143 - $300	105%
Community Blue	$143	105%
Devoted	$143	105%
The Health Plan Of West Virginia	$144 - $319	106%
American Health Plan Of Pa	$150	110%
Provider Network Of America	$150 - $400	110%
Provider Plan Partners Plan	$150	110%
Highmark Children'S Health Insurance Program	$163	120%
Ambetter / Centene	$170	125%
Highmark	$184 - $300	135%
Velocity	$204	150%
UnitedHealthcare	$346	255%

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 $300.
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 Excela Health Westmoreland Regional Hospital 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.