CMS Price Transparency Data

Psychological testing evaluation

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $207
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at University of Texas M. D. Anderson Cancer Center is $207. 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 1.52x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$207

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: $207 (152%)

Ins. Median: $207 (152% 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
Texaschildrens	$17 - $126	13%
Tricare	$20 - $215	15%
Vacare	$20 - $211	15%
Aetna	$22 - $215	16%
Medicare (plans)	$28 - $126	21%
Blue Cross Blue Shield	$41 - $207	30%
Cigna	$96 - $215	71%
Humana	$150 - $221	110%
UnitedHealthcare	$175 - $215	129%
Ontarioministriesofhealth	$185 - $212	136%
Memorialhermannhealth	$187 - $215	138%
Beijingst.Lucia	$188 - $215	138%
Embassyofqatar	$188 - $215	138%
Emergingtherapysolutions_Cancercare	$200 - $230	147%
Interlink_Cancercare	$200 - $230	147%
Saudiarmedforces	$200 - $230	147%
Uae_Medical	$200 - $230	147%
Uaepoliceattache	$200 - $230	147%
Healthsmart	$212 - $244	156%
Vantage	$212 - $244	156%
Emergingtherapysolutions	$215 - $230	158%
Interlink	$215 - $244	158%
Multiplan	$225 - $247	166%
Phcs	$225 - $247	166%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.