CMS Price Transparency Data

Psychological testing evaluation

Facility: Parkland Health & Hospital System

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $95
Cash Discount Price: $66
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Parkland Health & Hospital System is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.70x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $66 (49%)

Insurance Median: $95 (70%)

Cash: $66 (49% of Medicare)

Ins. Median: $95 (70% 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
Blue Cross Blue Shield	$14 - $120	10%
Wellpoint [1007]	$25 - $122	18%
Aetna	$26 - $128	19%
Cook Children Health Plan [1380]	$26	19%
Parkland Community Health Plan [1056]	$26 - $128	19%
Superior Health Plan [1402]	$26	19%
Molina [1382]	$28 - $134	21%
Point Comfort Underwriters [1801]	$28	21%
Care Improvement Plus [1104]	$35	26%
Procare Advantage [2104]	$35	26%
Cigna	$78 - $100	57%
Superior Healthplan [1383]	$98	72%
Great West Healthcare [1037]	$100	74%
UnitedHealthcare	$111	82%

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 $66.
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 Parkland Health & Hospital System 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.