CMS Price Transparency Data

Psychological testing evaluation

Facility: Cascade Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $102
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Cascade Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.75x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.
Cash / Self-Pay
$141

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $141 (104%)
Insurance Median: $102 (75%)
Cash: $141 (104% of Medicare)
Ins. Median: $102 (75% 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
Tricare $43 32%
First Choice Health Network $63 46%
Pacificsource Health Plans $63 46%
Medicaid / KanCare $94 69%
Asuris Northwest Health $98 - $158 72%
Community Health Plan Of Wa Mcd Rep $98 72%
Coordinated Care Of Wa Mcd Rep $98 72%
Molina Healthcare Of Washington Mcd Rep $98 72%
Aetna $102 - $158 75%
Blue Cross Blue Shield $102 - $134 75%
Humana $102 75%
Medicare (plans) $102 75%
Molina Healthcare Of Washington Mcr Adv $103 76%
Ambetter / Centene $110 81%
Wellcare Health Plan Inc Mcr Adv $110 81%
Community Health Plan Of Wa $114 84%
Cigna $147 108%
Washington Department Of Labor And Industry $157 116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 817 Commercial Street, Leavenworth, WA 98826
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals