CPT 96136 Neuropsychological Testing
Psycl/nrpsyc tst phy/qhp 1st Cost
Body System: Nervous
Medicare Facility Rate
$21
CMS PFS CY2026
Medicare Non-Facility Rate
$44
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.55
Work RVU
0.07
Facility PE RVU
0.02
Malpractice RVU
1.31
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $31 | $71 — $109 |
| AL — ALABAMA | $21 | $53 — $81 |
| AR — ARKANSAS | $21 | $52 — $80 |
| AZ — ARIZONA | $21 | $56 — $86 |
| CA — BAKERSFIELD | $22 | $60 — $93 |
| CA — CHICO | $22 | $60 — $93 |
| CA — EL CENTRO | $22 | $60 — $93 |
| CA — FRESNO | $22 | $60 — $93 |
| CA — HANFORD-CORCORAN | $22 | $60 — $93 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $22 | $64 — $98 |
| CA — MADERA | $22 | $60 — $93 |
| CA — MERCED | $22 | $60 — $93 |
| CA — MODESTO | $22 | $60 — $93 |
| CA — NAPA | $23 | $69 — $105 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $22 | $63 — $98 |
| CA — REDDING | $22 | $60 — $93 |
| CA — REST OF CALIFORNIA | $22 | $60 — $93 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $22 | $61 — $93 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $22 | $63 — $97 |
| CA — SALINAS | $22 | $63 — $96 |
Frequently Asked Questions
How much does Psycl/nrpsyc tst phy/qhp 1st cost?
The Medicare facility rate is $21. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Psycl/nrpsyc tst phy/qhp 1st cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $21.