CMS Price Transparency Data

Psychological testing evaluation

Facility: Pullman Regional Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $38
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Pullman Regional Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.28x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$99

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $99 (73%)
Insurance Median: $38 (28%)
Cash: $99 (73% of Medicare)
Ins. Median: $38 (28% 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
Molina Hlthcare Mcaid-All Plans $13 10%
Wellpoint Mcaid - All Plans $13 10%
Community Care Ntwrk Mcare-All Plans $22 16%
Kaiser Mcare Advan $22 16%
Sterling Mcr Adv-All Plans $22 16%
Triwest - All Plans $22 16%
Wellcare Mcr Adv $24 18%
Blue Cross Blue Shield $25 - $36 18%
Community Health Plan Mcaid-All Plans $25 18%
Humana $25 18%
Medicaid / KanCare $25 18%
Wellcare Mcaid -All Other Plans $25 18%
Aetna $30 22%
Premera First - All Plans $32 24%
First Choice - All Other Plans $39 29%
First Choice Admin $39 29%
Kaiser - All Other Plans $45 33%
Idaho Dshs-All Plans $48 35%
Admin Wsu Student-All Plans $99 73%
Multiplan - All Plans $99 73%
Asuris Nw Hlth-All Plans $104 77%
Cigna $104 77%
Focus Hlthcare - All Plans $104 77%
Northwest One - All Plans $104 77%
UnitedHealthcare $104 77%
Great West Hlth-All Plans $110 81%
Integrated Hp - All Plans $110 81%
Spokane Phco - All Plans $110 81%
Provider Network Of America-All Plans $114 84%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals