CMS Price Transparency Data

Psychological testing evaluation

Facility: Inova Alexandria Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $133
Cash Discount Price: $89
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Inova Alexandria Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.98x the Medicare baseline. Located in 4320 Seminary Rd, Alexandria, VA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $89 (65%)

Insurance Median: $133 (98%)

Cash: $89 (65% of Medicare)

Ins. Median: $133 (98% 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
Cigna	$79 - $134	58%
Carefirst	$88 - $93	65%
Sentara Health	$100 - $911	74%
Aetna	$101 - $928	74%
Innovation	$112	82%
Blue Cross Blue Shield	$129 - $884	95%
United	$129 - $902	95%
Kaiser	$134 - $972	99%
Humana	$142 - $919	104%

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 $89.
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 Inova Alexandria Hospital 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.