CMS Price Transparency Data

Psychological testing evaluation

Facility: Bellin Memorial Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $43
Cash Discount Price: $34
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Bellin Memorial Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.32x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $34 (25%)

Insurance Median: $43 (32%)

Cash: $34 (25% of Medicare)

Ins. Median: $43 (32% 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
Common Ground	$31	23%
Chorus Community Health Plan	$34	25%
Aspirus Arise	$36	26%
UnitedHealthcare	$36 - $122	26%
Cigna	$37	27%
Network Health	$38 - $122	28%
Wps Insurance	$38	28%
Hps/Paymedix	$39 - $41	29%
Trilogy	$40	29%
Healthsmart	$42	31%
Ihs(Claimsbridge)	$42	31%
Medical College Of Wi	$42	31%
Allied National	$44	32%
First Health	$44	32%
Galaxy Health	$44	32%
Three Rivers Provider Network	$47	35%
Blue Cross Blue Shield	$87	64%
Aetna	$117	86%
Community Care	$117	86%
Humana	$117	86%
My Choice	$117	86%

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 $34.
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 Bellin Memorial 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.