CMS Price Transparency Data

Psychological testing evaluation

Facility: Cook Childrens Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $263
Cash Discount Price: $498
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Cook Childrens Medical Center is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $498. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.93x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$498

Average discount available for prompt cash payment at this facility.

Insurance Median

$263

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: $498 (366%)

Insurance Median: $263 (193%)

Cash: $498 (366% of Medicare)

Ins. Median: $263 (193% 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
Health Plan W. Uhrip	$15 - $284	11%
Health Plan W/O Uhrip	$15 - $180	11%
Rightcare	$15 - $329	11%
Aetna	$21 - $636	15%
Beacon	$139 - $329	102%
Firstcare	$139 - $599	102%
United Community	$203 - $263	149%
Wellpoint	$203 - $263	149%
Blue Cross Blue Shield	$209 - $673	154%
Molina	$214 - $277	157%
El Paso Health First	$255 - $329	188%
Superior Health	$255 - $329	188%
Tx Children Health	$255 - $329	188%
UnitedHealthcare	$255 - $636	188%
S&W Health	$487 - $628	358%
Cigna	$492 - $636	362%
Healthscope	$492 - $636	362%
Imagine Health	$492 - $636	362%
Humana	$504 - $658	371%
Multiplan	$504 - $651	371%
First Health	$510 - $658	375%
Galaxy Health	$521 - $673	383%
Healthsmart	$521 - $673	383%
Usamco	$533 - $688	392%

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 $498.
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 Cook Childrens 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.