96146

Administration of psychological or neuropsychological test by single standardized instrument via electronic platform with automated result

Medicare pricing data for 207 providers across 22 states

🤖AI Overview

This procedure has a 45.7x markup — hospitals charge $102.39 but Medicare allows only $2.24. Uninsured patients may face bills 45.7 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Administration of psychological or neuropsychological test by single standardized instrument via electronic platform with automated result (HCPCS code 96146) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.24, but hospitals typically charge $102.39 — a 45.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.24, your out-of-pocket cost would be approximately $0.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.24
Average Hospital Charge
$102.39
Markup Ratio
45.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$102.39
Medicare Allowed$2.24
Medicare Payment$1.55

Hospitals charge 45.7x more than what Medicare allows for this procedure. Medicare actually pays $1.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$3$14311+14.3%
Illinois$3$52791+11.6%
New York$2$631168+7.6%
California$2$134413,008+7.6%
Missouri$2$37695+6.7%
Rhode Island$2$34314+6.7%
Indiana$2$6512357+6.2%
Florida$2$3614142+2.7%
Georgia$2$4385138+2.7%
Texas$2$301477+0.9%
Connecticut$2$1995281+0.9%
Michigan$2$39542-1.3%
Minnesota$2$26417-3.1%
Ohio$2$154699-3.1%
Pennsylvania$2$77828-3.6%
Kentucky$2$501217-9.4%
Virginia$2$79110-9.4%
Nevada$2$57619-11.2%
Tennessee$2$20669-13.8%
Nebraska$2$1067628-14.3%
North Carolina$2$68523-17.0%
Alabama$2$54404-17.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber