CMS Price Transparency Data

Psychological testing evaluation

Facility: Maury Regional Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $116
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Maury Regional Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.85x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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%)
Insurance Median: $116 (85%)
Ins. Median: $116 (85% 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
UnitedHealthcare $7 - $119 5%
Wellpoint $100 - $149 74%
Wellpoint Tci $100 74%
Humana $102 - $119 75%
Cigna $112 - $119 82%
Farm Bureau Health Plans $112 - $119 82%
Medicare (plans) $112 - $119 82%
Blue Cross Blue Shield $114 - $123 84%
Aetna $115 - $123 85%
American Health Plans $115 - $119 85%
Nhc $115 - $123 85%
Wellcare Harmony Health $115 - $123 85%
Medrisk $167 123%
State Of Tennessee $167 123%
Ambetter / Centene $208 - $281 153%
Oscar $285 - $304 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals