CMS Price Transparency Data

Psychological testing evaluation

Facility: Erlanger Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$54

about 0.4× the $136 Medicare rate · typically $38–$99

modeled estimate · not a bill or quote

What this hospital charges insurers

$56

About the fair price

about $2 over the fair price · 0.4× Medicare

Medicare pays $136 Fair price $54 This hospital $56 Cash price $49 Hospital's list price $92

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 4 charge more and 4 charge less, among the 9 TN hospitals compared.

Cheapest $20 Priciest $122

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $54 (about 0.4× the $136 Medicare rate). Erlanger Medical Center charges insurers about $56, or about $49 in cash — about the fair price. Located in Chattanooga, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$16 - $125	12%
Blue Cross Blue Shieldmajor	$33 - $118	24%
Aetnamajor	$33 - $122	24%
Cignamajor	$34 - $224	25%
Humanamajor	$33 - $118	24%
Ambetter (Centene)	$41 - $148	30%
Amerigroup	$30 - $69	22%
CareSource	$41 - $236	30%
Clover Health	$33 - $118	24%
Devoted Health	$34 - $123	25%
UPMC Health Plan	$33 - $118	24%
+ 13 smaller / regional plans	$33 - $296

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 49), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96136.

Insurance Before you use insurance

Call your insurance company to confirm Erlanger Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96136.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Erlanger Medical Center

Compare: Psychological testing evaluation at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.