CMS Price Transparency Data

Psychological testing evaluation

Facility: Intermountain Health Layton Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $88
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Intermountain Health Layton Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.65x the Medicare baseline. Located in 201 West Layton Parkway, Layton, UT.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $93 (68%)
Insurance Median: $88 (65%)
Cash: $93 (68% of Medicare)
Ins. Median: $88 (65% 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
Donor Connect $5 - $33 4%
Aetna $23 - $147 17%
American Health $23 - $139 17%
Blue Cross Blue Shield $23 - $139 17%
Health Partners Of Nevada $23 - $134 17%
Health Plan Of Nevada $23 - $134 17%
Healthy U $23 - $134 17%
Humana $23 - $141 17%
Molina $23 - $147 17%
Selecthealth $23 - $154 17%
UnitedHealthcare $23 - $134 17%
Intermountain Caregiver Plan $53 - $105 39%
Emi $67 49%
Deseret Mutual $71 52%
Cigna $78 - $106 57%
Awh Connected $79 - $80 58%
Emi Health $86 63%
Pehp $86 - $124 63%
Byu Risk Management $87 - $91 64%
Corporation Of The President $87 - $91 64%
Wcf Insurance $87 - $91 64%
Byu Athletics $89 65%
Campbell Scientific $89 65%
Corvel Corporation $89 65%
Franklin County $89 65%
Ifit $89 65%
Juniper Systems $89 65%
Lw Miller $89 65%
Tanner Llc $89 65%
Utah Tech $89 65%
Injury Care Of Nevada $93 68%
Managed Care Admin $97 71%
Prodegi Corp Benefit $102 75%
Uofu $102 75%
Springtide $103 76%
Global Excel $106 78%
Management And Training Corp $106 78%
Medcare International $106 78%
Motivhealth $106 78%
Wise Network $106 78%
Hygeia Corporation $112 82%
Triwest $124 91%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 West Layton Parkway, Layton, UT 84041
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals