CMS Price Transparency Data

Psychological testing evaluation

Facility: Columbus Community Hospital

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $79
Cash Discount Price: $21
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Columbus Community Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.58x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $21 (15%)

Insurance Median: $79 (58%)

Cash: $21 (15% of Medicare)

Ins. Median: $79 (58% 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
Icare	$11 - $1,086	8%
Cigna	$23	17%
Quartz	$26 - $1,086	19%
Health Payment Systems	$29	21%
Security Health Plan	$29 - $1,086	21%
Blue Cross Blue Shield	$30 - $1,086	22%
Trilogy	$32	24%
UnitedHealthcare	$32 - $1,086	24%
Wps	$33	24%
Dean Health Plan	$34 - $1,086	25%
First Health	$34	25%
Healtheos	$34 - $36	25%
Humana	$35	26%
Alliance	$122	90%
My Choice Wisconsin	$136 - $1,086	100%

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 $21.
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 Columbus Community 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.