CMS Price Transparency Data

Psychological testing evaluation

Facility: Milton S Hershey Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $151
Cash Discount Price: $278
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Milton S Hershey Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.11x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $278 (205%)

Insurance Median: $151 (111%)

Cash: $278 (205% of Medicare)

Ins. Median: $151 (111% 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
[Amerihealth Caritas]	$120 - $141	88%
[Highmark Wholecare]	$120 - $141	88%
[Geisinger]	$127 - $624	93%
[Health Partners Plans]	$131 - $144	96%
[Pa Health & Wellness]	$132 - $145	97%
[Highmark]	$140 - $759	103%
Aetna	$143 - $568	105%
Humana	$143	105%
[Healthspring]	$143	105%
UnitedHealthcare	$144 - $604	106%
[Upmc]	$144 - $619	106%
[Cbc]	$151 - $555	111%
[Point Comfort Underwriters]	$176	129%
[Highmark Aca]	$531	391%
Cigna	$536	394%
[Highmark Choice Blue]	$607	447%
[Preferred Healthcare Systems]	$628	462%
[First Health]	$670	493%
[Multiplan]	$670	493%

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 $278.
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 Milton S Hershey Medical 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.